Langerhans Cell Histiocytosis-Associated Vertebra Plana on FDG PET

Case Introduction

A previously healthy 10-year-old male presented with 2 weeks of severe, atraumatic neck pain “spreading” to his right arm, waking him nightly. Symptoms persisted despite supportive care and nonsteroidal anti-inflammatories. He described the pain as 9/10, most severe in his upper back and associated with intermittent tingling of his right little finger. Aggravating factors included neck movement, and alleviating factors included elevating his right arm. History was negative for recent injury, fever, chills, weight loss, night sweats, or evidence of neurologic deficits. Patient was afebrile, and the remaining vitals were within normal limits. The physical exam was notable for tenderness at the C7 spinous process without evidence of neurologic deficits.

Publikationsverlauf

Eingereicht: 21. September 2024

Angenommen: 09. Oktober 2024

Artikel online veröffentlicht:
27. November 2024

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