title: Diagnosis of Paget's disease of the pelvis using F-18 FDG PET/CT.
abstract: Sclerotic lesions of the right iliac bone were discovered incidentally in a 52-year-old Korean woman. In this case, imaging of the right iliac bone showed intense osteoblastic activity on the bone scan and very mild F-18-fluoro-2-deoxyglucose (FDG) uptake on positron emission tomography (PET). Since Paget's disease is rare in Koreans, we aimed to rule out other bone diseases such as osteoblastic metastasis or osteomyelitis. These results allowed us to exclude chronic osteomyelitis or malignancy and clarify the diagnosis of Paget's disease of the iliac bone. This case illustrates how F-18 FDG PET/CT can be a useful tool in the differential diagnosis of various bone diseases.
authors.affiliation: Division of Rheumatology, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.
authors.forename: Jin-Hyun
authors.initials: JH
authors.lastname: Woo
authors.forename: Sungeun
authors.initials: S
authors.lastname: Kim
authors.forename: Seong J
authors.initials: SJ
authors.lastname: Choi
authors.forename: Young H
authors.initials: YH
authors.lastname: Lee
authors.forename: Jong D
authors.initials: JD
authors.lastname: Ji
authors.forename: Gwan G
authors.initials: GG
authors.lastname: Song
mesh_terms: D058070:Asymptomatic Diseases; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D012968:Etidronic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging*; D033162:Incidental Findings; D008875:Middle Aged; D010001:Osteitis Deformans / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D049268:Positron-Emission Tomography; D011237:Predictive Value of Tests; D019275:Radiopharmaceuticals; D000068296:Risedronic Acid; D012598:Sclerosis; D014057:Tomography, X-Ray Computed; D051598:Whole Body Imaging
chemical_list: D050071:Bone Density Conservation Agents; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18; D000068296:Risedronic Acid; D012968:Etidronic Acid