• Internal medicine · Feb 2022

    Case Reports

    A Long-term Persistent Vascular Fluorodeoxyglucose Uptake in a Patient with Large-vessel Vasculitis.

    • Kenya Ie, Tsubasa Sakai, Eri Kurosu, Iori Motohashi, Kunihiro Yagihashi, Chiaki Okuse, and Takahide Matsuda.
    • Division of General Internal Medicine, Department of Internal Medicine, St. Marianna University School of Medicine, Japan.
    • Intern. Med. 2022 Feb 1; 61 (3): 357-360.

    AbstractWe herein report a case of large-vessel vasculitis in a 57-year-old woman who developed an intermittent fever and weight loss. While contrast-enhanced computed tomography was noncontributory, positron emission tomography-computed tomography (PET-CT) revealed the diffuse, intense uptake of fluorodeoxyglucose (FDG) in the aorta and its branches. Although she had no signs of relapse after successful oral corticosteroid therapy, PET-CT at 30 months revealed a persistent FDG uptake in the large vessels, which warranted regular follow-up imaging for vascular complications. In cases with an intense FDG uptake at the diagnosis, PET-CT follow-up after clinical remission may help predict the risk of relapse and vascular complications.

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