[18F]-Fluorodeoxyglucose Positron Emission Tomography Computed Tomography로 진단된 전대동맥염에 의한 재발성 뇌경색
Panaortitis-Related Stroke Which was Diagnosed by [18F]-Fluorodeoxyglucose Positron Emission Tomography Computed Tomography
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초록
We report on a 66-year-old woman with recurrent ischemic strokes, which were probably related to active panaortitis. Whole body fusion [18F]-fluorodeoxyglucose (FDG) positron emission tomography computed tomography (PET-CT) scan showed increased FDG uptake in the entire aorta, innominate, bilateral subclavian, common carotid and femoral arteries on 12 days after symptom onset. The increased FDG uptake was attenuated after the treatment with steroid for 1 month. Panaortitis could provoke recurrent ischemic strokes, where FDG PET-CT is likely to be useful in the early diagnosis and therapeutic monitoring.
Abstract
We report on a 66-year-old woman with recurrent ischemic strokes, which were probably related to active panaortitis. Whole body fusion [18F]-fluorodeoxyglucose (FDG) positron emission tomography computed tomography (PET-CT) scan showed increased FDG uptake in the entire aorta, innominate, bilateral subclavian, common carotid and femoral arteries on 12 days after symptom onset. The increased FDG uptake was attenuated after the treatment with steroid for 1 month. Panaortitis could provoke recurrent ischemic strokes, where FDG PET-CT is likely to be useful in the early diagnosis and therapeutic monitoring.
참고문헌 (12)
- Gornik HL, "Aortitis", Circulation, 117, pp.3039~3051 (2008)
- Merkel PA, "Noninfectious ascending aortitis: staying ahead of the curve", J Rheumatol, 36, pp.2137~2140 (2009)
- Maksimowicz-McKinnon K, "Limitations of therapy and a guarded prognosis in an American cohort of Takayasu arteritis patients", Arthritis Rheum, 56, pp.1000~1009 (2007)
- Nuenninghoff DM, "Incidence and predictors of large-artery complication (aortic aneurysm, aortic dissection, and", or large-artery stenosis) in patients with giant cell arteritis: a population-based study over 50 years, 2003, pp.48, 3522~3531
- rr GS, "Takayasu arteritis", Ann Intern Med, 120, pp.919~929 (1994)
- Zheng DY, "Clinical studies in 500 patients with aortoarteritis", Chin Med J (Engl), 103, pp.536~540 (1990)
- Vallance P, "Infection, inflammation, and infarction: does acute endothelial dysfunction provide a link?", Lancet, 349, pp.1391~1392 (1997)
- Tavora F, "Review of isolated ascending aortitis: differential diagnosis, including syphilitic, Takayasu’s and giant cell aortitis", . Pathology, 38, pp.302~308 (2006)
- Hunder GG, "The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis", Arthritis Rheum, 33, pp.1122~1128 (1990)
- Arend WP, "The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis", Arthritis Rheum, 33, pp.1129~1134 (1990)
- Scheel AK, "Diagnosis and follow up of aortitis in the elderly", Ann Rheum Dis, 63, pp.1507~1510 (2004)
- FDG PET and MRI, "Eur J Nucl Med Mol Imaging", 2003, 730~736