Positron emission tomography in the diagnosis of giant cell arteritis.
This case describes how positron emission tomography (PET) led to the diagnosis of giant cell arteritis in a 50-year-old woman with fever of unknown origin. The patient presented with fever, weight loss, anemia, and headaches. She underwent multiple serologic, biopsy, and imaging tests that were inconclusive. Her sedimentation rate was 83. Giant cell arteritis was suspected clinically. PET revealed diffuse abnormal F-18 fluorodeoxyglucose (FDG) arterial uptake consistent with giant cell arteritis. After treatment with steroids, the patient showed prompt resolution of symptoms. A repeat PET scan showed near-complete resolution of the abnormal FDG uptake.
Fletcher
Terry Michael
TM
Radiology Residency Program Eastern Virginia Medical School Norfolk, Virginia, USA. Fletch1016@hotmail.com
Espinola
Danilo
D
D003937:Diagnosis, Differential; D005260:Female; D005335:Fever of Unknown Origin / Q000175:diagnosis* / Q000209:etiology; D019788:Fluorodeoxyglucose F18; D013700:Giant Cell Arteritis / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006801:Humans; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D049268:Positron-Emission Tomography / Q000379:methods*; D011241:Prednisone / Q000627:therapeutic use; D019275:Radiopharmaceuticals
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18; D011241:Prednisone; D008775:Methylprednisolone