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18F-FDG PET/CT imaging of atypical subacute thyroiditis in thyrotoxicosis: A case report.

Abstract In addition to its established role in oncologic imaging, F-fluorodeoxyglucose positron emission tomography/computed tomography (F-FDG PET/CT) is useful for the assessment of inflammatory activity. However, subacute thyroiditis (SAT) in thyrotoxicosis is rarely detected during these scans.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28746199
OWN - NLM
STAT- In-Process
DA  - 20170726
LR  - 20170726
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 30
DP  - 2017 Jul
TI  - 18F-FDG PET/CT imaging of atypical subacute thyroiditis in thyrotoxicosis: A case
      report.
PG  - e7535
LID - 10.1097/MD.0000000000007535 [doi]
AB  - BACKGROUND: In addition to its established role in oncologic imaging,
      F-fluorodeoxyglucose positron emission tomography/computed tomography (F-FDG
      PET/CT) is useful for the assessment of inflammatory activity. However, subacute 
      thyroiditis (SAT) in thyrotoxicosis is rarely detected during these scans. CASE: 
      A 66-year-old man with SAT in thyrotoxicosis demonstrated symptoms of transient
      fatigue, headache, and fever, without typical neck pain. Using F-FDG PET/CT, we
      found increased F-FDG uptake in the thyroid gland, predominantly in the right
      side due to SAT. We also observed a coexisting decrease in F-FDG uptake in the
      liver and increased F-FDG uptake in skeletal muscle due to thyrotoxicosis.
      CONCLUSION: Using F-FDG PET/CT, the combined observations of increased F-FDG
      uptake in the thyroid and skeletal muscle, and decreased F-FDG uptake in the
      liver, even when the typical symptom of neck pain is subtle or absent, may be
      helpful for the differential diagnosis of SAT in thyrotoxicosis.
FAU - Yoshida, Katsuya
AU  - Yoshida K
AD  - aPET Imaging Center, Asahi General Hospital bDepartment of Clinical Cell Biology 
      and Medicine, Graduate School of Medicine, Chiba University, Chiba cDepartment of
      Diagnostic Radiology, Graduate School of Medicine, Tokyo Medical and Dental
      University, Tokyo dDepartment of Radiology, Asahi General Hospital, Chiba, Japan.
FAU - Yokoh, Hidetaka
AU  - Yokoh H
FAU - Toriihara, Akira
AU  - Toriihara A
FAU - Fujii, Hayahiko
AU  - Fujii H
FAU - Harata, Naoki
AU  - Harata N
FAU - Isogai, Jun
AU  - Isogai J
FAU - Tateishi, Ukihide
AU  - Tateishi U
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2017/07/27 06:00
MHDA- 2017/07/27 06:00
CRDT- 2017/07/27 06:00
AID - 10.1097/MD.0000000000007535 [doi]
AID - 00005792-201707280-00030 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(30):e7535. doi: 10.1097/MD.0000000000007535.