Bone Scintigraphy and Tenofovir-Induced Osteomalacia in Chronic Hepatitis B
Alex Cheen Hoe Khoo1, Yeong Fong Lee1
1Department of Nuclear Medicine, Penang Hospital, Jalan Residensi, 10990 Georgetown, Penang Malaysia.
Abstract:
Tenofovir, used in the treatment of chronic hepatitis B and HIV, is known for its side effects on the kidneys and bones. We share interesting images of a patient with tenofovir-induced osteomalacia on Technetium-99 m hydroxymethyelene (Tc-99 m HDP) bone scintigraphy. Pattern recognition of this bone scintigraphy and correlation with the clinical history is essential to avoid misdiagnosis.
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