title: [67Ga scintigraphy as a therapeutic marker for spinal cord and muscular sarcoidosis: A case report].
abstract: A 70-year-old woman was admitted to our hospital because of the right limb pain and gait disturbance. (67)Ga scintigraphy showed an increased uptake in the spinal cord, mediastinal lymph node and right tibialis anterior muscle. Based on the histopathological findings of epithelioid cell granuloma in endobronchial ultrasound-guided transbronchial needle aspiration of lymph node, she was diagnosed as having probable spinal cord/muscular sarcoidosis. After she was treated with oral prednisolone, her limb pain and gait disturbance improved. Furthermore, uptake in (67)Ga scintigraphy was reduced after the treatment. In conclusion, (67)Ga scintigraphy is useful not only for diagnosis, but also for estimating the efficiency of the treatment for sarcoidosis involving multiple organs such as the spinal cord and skeletal muscle.
authors.affiliation: Department of Neurology, Nagoya University Graduate School of Medicine.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Yamada
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Nakanishi
authors.forename: Masaaki
authors.initials: M
authors.lastname: Hirayama
authors.forename: Masahisa
authors.initials: M
authors.lastname: Katsuno
authors.forename: Gen
authors.initials: G
authors.lastname: Sobue
mesh_terms: D000082:Acetaminophen / Q000008:administration & dosage; D000368:Aged; D004359:Drug Therapy, Combination; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D009135:Muscular Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy; D010666:Phenylpropionates / Q000008:administration & dosage; D011239:Prednisolone / Q000008:administration & dosage; D011877:Radionuclide Imaging; D012507:Sarcoidosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014147:Tramadol / Q000008:administration & dosage; D016896:Treatment Outcome
chemical_list: D005710:Gallium Radioisotopes; D010666:Phenylpropionates; C040656:loxoprofen; D000082:Acetaminophen; D014147:Tramadol; D011239:Prednisolone