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Metabolic Resolution of Lytic Lesions in Erdheim-Chester Disease on 18F-FDG PET/CT
Divya Yadav1, Rachna Seth2, Shamim Ahmed Shamim1
1From the Departments of Nuclear Medicine.
Insights
Erdheim-Chester disease (ECD) is a rare disorder affecting bones. Serial F-FDG PET/CT scans effectively assess treatment response in adolescent patients with ECD.
Area of Science:
- Oncology
- Radiology
- Histiocytic Disorders
Background:
- Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytosis.
- It presents with diverse clinical manifestations, frequently impacting the skeletal system.
Observation:
- The long bones are the most commonly affected sites in ECD.
- Bone scintigraphy often reveals increased bilateral symmetric uptake in metadiaphyseal regions.
Findings:
- This study details serial F-FDG PET/CT findings in a 16-year-old female adolescent diagnosed with ECD.
- F-FDG PET/CT demonstrates significant utility in monitoring treatment efficacy for ECD.
Implications:
- F-FDG PET/CT serves as a valuable tool for assessing therapeutic response in Erdheim-Chester disease.
- This imaging modality aids in managing skeletal involvement in pediatric and adolescent ECD cases.
Abstract:
Erdheim-Chester disease (ECD) is a rare non-Langerhans cell histiocytic disorder with variable clinical presentation most commonly involving the skeletal system. The long bones are the most common site of involvement giving a characteristic bone scintigraphy pattern of increased bilateral symmetric uptake in metadiaphyseal regions. We describe the findings of serial F-FDG PET/CT in a 16-year-old adolescent girl with ECD, emphasizing the role of F-FDG PET/CT in response assessment of ECD.
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