Document Detail

Wegener's granulomatosis overlapping with Takayasu's arteritis revealed by FDG-PET scan.
MedLine Citation:
PMID:  17338969     Owner:  NLM     Status:  In-Data-Review    
We report the case of a 23-year-old woman who initially presented with Wegener's granulomatosis (WG) limited to the lungs, diagnosed on the basis of a biopsy of an upper left lobe nodule and elevated ANCA titers. Remission occurred under treatment with methylprednisolone and intravenous immunoglobulins. Later in the course of the disease, findings highly suggestive of Takayasu's arteritis (TA) appeared: murmur at the level of the left subclavian artery, thickening of the arterial wall of the aorta and pulmonary arteries on tomodensidometry, and abnormal uptake of the aortic arch and ascending aorta on FDG-PET scan. This latter exam also showed an increased uptake of an already known pulmonary nodule, due to WG. Although five cases of WG occurring together with TA have previously been reported, this is the only one in which TA was revealed by FDG-PET scan. In the specific setting of overlapping vasculitides, FDG-PET scan may be helpful in simultaneously evaluating the activity of the two diseases.
F Vandergheynst; S Goldman; E Cogan
Related Documents :
23091149 - Pulmonary vascular remodeling in broiler and leghorn chickens after unilateral pulmonar...
18077499 - Ultrasound of proximal upper extremity arteries to increase the diagnostic yield in lar...
1785339 - Kawasaki disease. with particular emphasis on arterial lesions.
20661069 - Two cases of recurrent stroke in treated giant cell arteritis: diagnostic and therapeut...
16234669 - Microsurgical anatomy and quantitative analysis of the transtemporal-transchoroidal fis...
16504829 - Novel therapeutic strategies for large vessel vasculitis.
6878699 - Dissecting aortic aneurysms: accuracy of computed tomographic diagnosis.
1889049 - Systemic and pulmonary flow in mitral stenosis: evidence for a bronchial vein shunt.
17028929 - Kawasaki disease: role of coronary ct angiography.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of internal medicine     Volume:  18     ISSN:  0953-6205     ISO Abbreviation:  Eur. J. Intern. Med.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9003220     Medline TA:  Eur J Intern Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  148-9     Citation Subset:  -    
Internal Medicine Department, Erasme University Hospital, Université Libre de Bruxelles, Belgium.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Fever revealing Behçet's disease: Two new cases.
Next Document:  Typhoid fever in travelers: Time for reassessment.