Cardiovascular

Small- to medium-sized arteritis diagnosed by F-18 FDG PET/CT: A case report.

TL;DR

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

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).

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.

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.

Have a question about this study?

Citation

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