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Nuklearmedizin 2022; 61(06): 462-463
DOI: 10.1055/a-1907-4248
Case Report

[18F]FDG PET/CT guided biopsy confirms diagnosis of granulomatosis with polyangiitis

[18F]FDG-PET/CT-gesteuerte Biopsie bestätigt die Diagnose einer Granulomatose mit Polyangiitis
Anne Katharina Krebold
1   Nuclear Medicine, University of Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)
,
Tina Schaller
2   Pathology, University of Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)
,
Madeleine Appenzeller
3   Pneumatology, University of Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)
,
Martin Schwaiblmair
3   Pneumatology, University of Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)
,
Malte Kircher
1   Nuclear Medicine, University of Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)
,
Ralph Alexander Bundschuh
1   Nuclear Medicine, University of Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)
,
Constantin Lapa
4   University of Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)
,
Alexander Dierks
1   Nuclear Medicine, University of Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)
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Introduction, Patient History, Diagnosis, Treatment

A 55-year-old man with a prior medical history of chronic sinusitis was referred due to progressive dyspnea and weight loss. Computed tomography (CT) of the chest revealed multiple consolidations in both lungs. For further work-up, positron remission tomography/CT (PET/CT) with [18F]fluoro-D-glucose ([18F]FDG) was subsequently performed demonstrating high [18F]FDG uptake in the nasal cavity (SUVmax: 16.9). In addition, intense tracer accumulation in the aforementioned lung lesions (SUVmax: 21.9) was observed ([Fig. 1]).



Publikationsverlauf

Eingereicht: 15. Juli 2022

Angenommen: 19. Juli 2022

Artikel online veröffentlicht:
17. August 2022

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  • References

  • 1 Kitching AR, Anders HJ, Basu N. et al. ANCA-associated vasculitis. Nat Rev Dis Primers 2020; 6 (01) 71
    CrossrefPubMedGoogle Scholar
  • 2 Ueda N, Inoue Y, Himeji D. et al. Wegener’s granulomatosis detected initially by integrated 18F-fluorodeoxyglucose positron emission tomography/computed tomography. Mod Rheumatol 2010; 20 (02) 205-209
    CrossrefPubMedGoogle Scholar
  • 3 Beggs AD, Hain SF. F-18 FDG-positron emission tomographic scanning and Wegener’s granulomatosis. Clin Nucl Med 2002; 27 (10) 705-706
    CrossrefPubMedGoogle Scholar
  • 4 Ito K, Minamimoto R, Yamashita H. et al. Evaluation of Wegener’s granulomatosis using 18F-fluorodeoxyglucose positron emission tomography/computed tomography. Ann Nucl Med 2013; 27 (03) 209-216
    CrossrefPubMedGoogle Scholar