title: A Japanese case of vertebral sarcoidosis.
abstract: We herein report the first Japanese case of vertebral sarcoidosis diagnosed using multiple imaging modalities and a biopsy. CT, MRI and (18)F-fluorodeoxyglucose positron emission tomography (18F-FDG PET) detected multiple vertebral lesions, and a vertebral biopsy guided by the PET findings confirmed the diagnosis of vertebral sarcoidosis. Although the disease was refractory to corticosteroids, treatment with methotrexate (MTX) achieved a good response. Our case suggests that MRI and 18F-FDG PET are useful for determining the site for a biopsy and that MTX is effective for treating vertebral sarcoidosis.
authors: Department of Respiratory Medicine, Kobe City Medical Center General Hospital, Japan.
authors: Daichi
authors: D
authors: Fujimoto
authors: Keisuke
authors: K
authors: Tomii
authors: Kojiro
authors: K
authors: Otsuka
authors: Yuki
authors: Y
authors: Okutani
authors: Keiichi
authors: K
authors: Kawanabe
authors: Yukihiro
authors: Y
authors: Imai
mesh_terms: D000368:Aged; D044466:Asian People; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology*; D012507:Sarcoidosis / Q000175:diagnosis*