限定的皮肤硬化症期间的多发性肌痛性风湿症:一种不寻常且具有挑战性的共存
Noel Lorenzo-Villalba1, Charlene Habib1, Léa Docquier1
1Service de Médecine Interne, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
European journal of case reports in internal medicine
|July 10, 2024
概括
多发性肌痛性风湿症可以在年轻人中呈现异常,并可能模仿其他炎症状况. F-FDG-PET扫描对于准确诊断和将其与其他类风湿性疾病区分开来至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 核医学是一种核医学.
- 免疫学 免疫学 免疫学
背景情况:
- 一名50岁的患者患有有限的皮肤硬化症,呈现出多关节痛.
- 最初的症状包括没有硬度或炎症标记的关节疼痛,最初怀疑是外周脊髓关节炎.
研究的目的:
- 为了调查多发性肌痛性风湿症 (PMR) 的非典型表现.
- 评估F-FDG-PET在诊断PMR和区分其与其他炎症状况中的实用性.
主要方法:
- 临床评估和使用抗炎药物的初始治疗.
- 由于疾病进展和炎症标志物增加而进行的F-FDG-PET扫描.
- 在诊断后开始的口服皮质类固醇治疗.
主要成果:
- 患者对抗炎药物有部分反应,随后症状恶化,包括硬和功能限制.
- 18F-FDG-PET扫描结果与多发性肌痛风湿相兼容.
- 在一周内对口服皮质类固醇治疗的良好反应.
结论:
- 在年轻人呈现异常症状时,应考虑多肌痛性风湿症.
- 不同诊断必须排除后传染性和副瘤性炎症性风湿症.
- F-FDG-PET对于诊断PMR和差异诊断非常有价值.
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