Uremic Leontiasis Ossea in a Patient With Chronic Renal Insufficiency Demonstrated on Bone Scintigraphy.
A 37-year-old woman with chronic renal insufficiency underwent bone scintigraphy to evaluate renal osteodystrophy (ROD). Markedly increased uptakes were shown in the maxilla and the mandible, which suggested extensive maxillary and mandibular hypertrophy. CT image revealed that diffuse bony thickening and ground-glass appearance in the skull, maxilla, and mandible with poor distinction of the corticomedullary junction. Whole-body bone scintigraphy images also demonstrated various skeletal characteristics of ROD. This case emphasizes the utility of bone scintigraphy for the surveillance of the whole body in ROD.
From the Department of Nuclear Medicine, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Cyclotron Research Center, and Molecular Imaging and Therapeutic Medicine Research Center, Chonbuk National University Medical School and Hospital, Jeonju, Republic of Korea.
Yeon-Hee
YH
Han
Hwan-Jeong
HJ
Jeong
Seok Tae
ST
Lim
Myung-Hee
MH
Sohn
D000328:Adult; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D006957:Hyperostosis Frontalis Interna / Q000150:complications / Q000000981:diagnostic imaging*; D008334:Mandible / Q000000981:diagnostic imaging; D008437:Maxilla / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000000981:diagnostic imaging*; D012886:Skull / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed