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Clinical nuclear medicine · Oct 2010
Case ReportsUnexpected primary osseous lymphoma as the cause of lactic acidosis in a patient suffering from pancreatitis.
- Li Huo, Yaping Luo, Taiping Zhang, Zhaohui Zhu, Fang Li, and Yupei Zhao.
- Department of Nuclear Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College Hospital, Beijing, People's Republic of China.
- Clin Nucl Med. 2010 Oct 1; 35 (10): 790-3.
AbstractA 45-year-old man was admitted due to acute pancreatitis. A severe lactic acidosis was found. Following active therapy, the signs and symptoms from pancreatitis was improved, but acidosis was exacerbated. FDG PET/CT images were acquired to investigate the etiology of lactic acidosis and/or other unknown pathology. The images showed widespread abnormal FDG activity in the bone marrows throughout the body, suggestive of hematologic malignancy, which was confirmed as primary osseous non-Hodgkin lymphoma following a histopathological examination of the bone marrow. Chemotherapy against lymphoma was initiated and status of the lactic acidosis was rapidly corrected.
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