Super scan leading to definitive diagnosis in a patient with recurrent syncope.
A "super scan" pattern detected on bone scintigraphy usually indicates either metabolic bone disease or diffuse metastases. We report a rare case of a 45-year-old man with recurrent episodes of syncope of 10 years' duration in whom bone scintigraphy showed a super scan with an axial skeleton distribution of uptake. Bone marrow biopsy established the diagnosis of systemic mastocytosis. The few reports in the literature of super scans associated with systemic mastocytosis showed diffuse axial and appendicular increased uptake. The present case shows a super scan involving the axial skeleton, which led to the diagnosis of systemic mastocytosis.
Department of Nuclear Medicine, Western Galilee Hospital, Nahariya, Israel. jjkhoury@netvision.net.il
Jabour
J
Khoury
Jacqueline
J
Jerushalmi
Hector Isaac
HI
Cohen
Norman
N
Loberant
Adnan
A
Zaina
D001842:Bone and Bones / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D034721:Mastocytosis, Systemic / Q000150:complications / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D012008:Recurrence; D013575:Syncope / Q000209:etiology*; D013669:Technetium Tc 99m Medronate
D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate