Metabolic Bone Superscan in Carcinoma Breast with Occult Graves' Disease: Looking Beyond Skeletal Metastases

• Published in: Indian journal of nuclear medicine Vol. 33; no. 2; pp. 145 - 147
• Main Authors: Parihar, Ashwin, Sood, Ashwani, Lukose, Tinu, Seam, Rajeev, Mittal, Bhagwant
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01.04.2018; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd
• Subjects: Bone diseases; Bones; Breast cancer; Carcinoma; Case Report; Fingers & toes; Gandhi, Indira (1917-84); Health education; Hyperthyroidism; Metabolism; Metastasis; Nuclear medicine; Pain; Patients; Thyroid diseases; Thyroid gland; metabolic superscan; thyrotoxicosis; Metabolic bone disease
• ISSN: 0972-3919; 0974-0244
• DOI: 10.4103/ijnm.IJNM_144_17

Extrathyroidal manifestations of autoimmune thyroid disorders include thyroid-associated ophthalmopathy, thyroid dermopathy, and thyroid acropachy. Thyroid acropachy is an extreme manifestation of autoimmune thyroid disorder characterized by clubbing and swelling of fingers and toes, with or without periosteal reaction of the distal bones. We present a 50-year-old woman, posttreatment for carcinoma breast (6 years back) and referred for bone scan for generalized body ache. Bone scan findings resulting in detailed clinical evaluation prompted toward the suspicion of a thyroidal disease with ultimate diagnosis of Graves' disease.