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Journals / Cardiovascular surgery and interventions / 2021 / Cilt: 8 - Sayı: 1

Relapsing polychondritis with aortic involvement in fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography: A case report

Tarık Şengöz
Olga Yaylalı
Bilgin Emrecan
Aziz Gültekin
Selda Kutlu
Pages
58–62
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, 18F-FDG PET/CT is an important imaging method for demonstrating RPC.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:An 83-year-old male patient presented with recurrent high fever.
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Key Findings & Data:However, C-reactive protein (CRP) and fever did not decrease.
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Conclusion & Impact:In conclusion, 18F-FDG PET/CT is an important imaging method for demonstrating RPC.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

An 83-year-old male patient presented with recurrent high fever. Vegetation was determined on transesophageal echocardiography, and antibiotic treatment was initiated for infective endocarditis. Despite medical treatment, progressive aortic insufficiency occurred and aortic valve replacement was performed. However, C-reactive protein (CRP) and fever did not decrease. During the clinical follow-up, pharyngolaryngeal pain and hoarseness, swelling, pain in the left auricle and nose increased. Fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) scan was performed which revealed an increased 18F-FDG uptake in the ascending aorta, left ear, and nose. The patient was diagnosed with relapsing polychondritis (RPC). After the steroid and cyclophosphamide treatment, fever and CRP decreased dramatically. In conclusion, 18F-FDG PET/CT is an important imaging method for demonstrating RPC.

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Cite This Article

Şengöz, T., Yaylalı, O., Emrecan, B., Gültekin, A., Kutlu, S. (2022). Relapsing polychondritis with aortic involvement in fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography: A case report. Cardiovascular surgery and interventions, Cilt: 8 - Sayı: 1, 58–62. https://ajindex.com/articles/471074

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References (11)

  1. Kubota K, Yamashita H, Mimori A. Clinical value of FDG-PET/CT for the evaluation of rheumatic diseases: Rheumatoid arthritis, polymyalgia rheumatica, and relapsing polychondritis. Semin Nucl Med 2017;47:408-24
  2. Bayer G, Diot E, Erra B. Utility of 18F-FDG PET/CT in relapsing polychondritis. QJM 2015;108:339-40
  3. Yamashita H, Takahashi H, Kubota K, Ueda Y, Ozaki T, Yorifuji H, et al. Utility of fluorodeoxyglucose positron emission tomography/computed tomography for early diagnosis and evaluation of disease activity of relapsing polychondritis: A case series and literature review. Rheumatology (Oxford) 2014;53:1482-90
  4. Sharma A, Kumar R, Mb A, Naidu GSRSNK, Sharma V, Sood A, et al. Fluorodeoxyglucose positron emission tomography/ computed tomography in the diagnosis, assessment of disease activity and therapeutic response in relapsing polychondritis. Rheumatology (Oxford) 2020;59:99-106
  5. Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J 2015;36:3075-128
  6. McClendon CE, Leff RD, Clark EB. Postpericardiotomy syndrome. Drug Intell Clin Pharm 1986;20:20-3
  7. Noji S, Kitamura N, Yamaguchi A, Miki T, Shuntoh K. Relationship between postoperative prognosis and preoperative immunological factors in aortitis syndrome. Nihon Kyobu Geka Gakkai Zasshi 1996;44:149-54
  8. Aslan H, Pınar E, Aladağ İ, İmre A, Çabuk E. Aurikuler tekrarlayıcı polikondrit: Olgu sunumu. Gaziosmanpaşa Üniversitesi Tıp Fakültesi Dergisi 2015;7:76-83
  9. Lekpa FK, Chevalier X. Refractory relapsing polychondritis: challenges and solutions. Open Access Rheumatol 2018;10:1-11
  10. Wang J, Li S, Zeng Y, Chen P, Zhang N, Zhong N. ¹⁸F-FDG PET/CT is a valuable tool for relapsing polychondritis diagnose and therapeutic response monitoring. Ann Nucl Med 2014;28:276-84
  11. Elourimi G, Soussan M, Warzocha U, Bugaud H, Dhôte R, Abad S. Efficacy of tocilizumab highlighted by FDG-PET/ CT in a patient with relapsing polychondritis-associated aortitis. Rheumatol Int 2017;37:1931-5.