F-18 FDG PET/CT revealed linear and branching tree-like patterns of hypermetabolism in small- to medium-sized arteries, facilitating noninvasive diagnosis of arteritis and enabling timely treatment while avoiding unnecessary procedures.
Key Findings
Background
F-18 FDG PET/CT identified arteritis in a 65-year-old male patient presenting with fever and muscle pain.
The patient presented to the emergency department with persistent fever and generalized muscle pain lasting 3 weeks.
F-18 FDG PET/CT revealed 'linear and branching tree-like patterns of hypermetabolism in the arteries of both arms and thighs.'
The imaging findings led to a diagnosis of small- to medium-sized arteritis.
This was a single case report (n=1).
Results
Intravenous prednisolone therapy initiated following rheumatologist recommendation resulted in rapid resolution of symptoms.
Treatment with intravenous prednisolone was initiated after rheumatologist consultation.
Fever subsided and muscle pain resolved shortly after starting prednisolone therapy.
No specific timeline or dosage for prednisolone was reported in the abstract.
Conclusions
F-18 FDG PET/CT served as a noninvasive alternative to invasive diagnostic procedures for arteritis diagnosis.
Early diagnosis of arteritis is described as 'challenging due to nonspecific symptoms and often requires invasive procedures.'
The use of FDG PET/CT avoided unnecessary interventions and inappropriate use of antibiotics.
The modality also enabled 'objective monitoring of treatment response.'
The imaging provided a noninvasive approach to diagnosing small- to medium-sized arteritis specifically.
Oh S, Lim S, Jeong H, Han Y. (2026). Small- to medium-sized arteritis diagnosed by F-18 FDG PET/CT: A case report.. Medicine. https://doi.org/10.1097/MD.0000000000048083