18F-FDG PET/CT Imaging of Popliteal Vasculitis Associated With Polyarteritis Nodosa
Romain Schollhammer1, Paul Schwartz, Marie-Laure Jullie
1From the Departments of *Nuclear Medicine, †Anatomopathology, ‡Dermatology, and §Internal Medicine, University Hospital of Bordeaux, Bordeaux, France.
Abstract:
We report an F-FDG linear uptake of the right popliteal artery in a 25-year-old man who underwent a PET/CT scan for unexplained chronic asthenia associated with fever symptoms, arthralgia, and subcutaneous nodes, in favor of vasculitis. The patient had a history of saphenous vein thrombosis. Thrombophilia screening finds a blood lupus anticoagulant. A biopsy of subcutaneous nodes finds an anatomopathologic lesion of polyarteritis nodosa. F-FDG PET can be useful in initial staging of polyarteritis nodosa for an early diagnosis of vasculitis, and thus, early treatment can prevent arterial complications such as occlusion or aneurysm.
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