18F-FDG PET/CT Imaging of Popliteal Vasculitis Associated With Polyarteritis Nodosa

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. Thrombo...

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Published inClinical nuclear medicine Vol. 42; no. 8; p. e385
Main Authors Schollhammer, Romain, Schwartz, Paul, Jullie, Marie-Laure, Pham-Ledard, Anne, Mercie, Patrick, Fernandez, Philippe, Pinaquy, Jean-Baptiste
Format Journal Article
LanguageEnglish
Published United States 01.08.2017
Subjects
Adult
Biological Transport
Biopsy
Fluorodeoxyglucose F18 - metabolism
Humans
Male
Polyarteritis Nodosa - complications
Positron Emission Tomography Computed Tomography
Vasculitis - complications
Vasculitis - diagnostic imaging
Vasculitis - pathology
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Summary: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.
ISSN:1536-0229
DOI:10.1097/RLU.0000000000001711