[The role of gallium scintigraphy in the diagnosis of sarcoidosis and in monitoring treatment effectiveness].
Sarcoidosis is an inflammatory disorder of unclear origin that can affect many organs. The hallmark of sarcoidosis is formation non-caseating epithelioid cell granulomas. The aetiology and the pathogenesis of the disease are not well understood, therefore in the absence of specific histopathology distinguishing marks the diagnosis is established by exclusion. In this case, the authors present a unique case of Boeck sarcoidosis with pulmonary manifestation and pleural involvement. They would like to draw attention to the importance of gallium scintigraphy in the diagnostic workup of the disease. During the diagnostic process, the exact diagnosis could be established with the help of gallium scintigraphy. Gallium scan also played an important role in identifying extrapulmonary manifestations. Serial control examinations--as being the only sensitive non invasive diagnostic test method- provided valuable help in estimating the activity of the inflammatory process and monitoring therapeutic efficacy.
Homonnai
Andrea
A
Heves Megyei Onkormányzat Markhot Ferenc Kórház - Rendelointézet, Izotópdiagnosztikai Osztály, Eger. ahomaly@freemail.hu
Kontz
Katalin
K
Tombácz
Adrienn
A
D005710:Gallium Radioisotopes; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods*; D017565:Sarcoidosis, Pulmonary / Q000000981:diagnostic imaging* / Q000628:therapy*; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods; D016896:Treatment Outcome
D005710:Gallium Radioisotopes