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PET/CT with 18F-FDG in Eosinophilic Fasciitis. Clinical Case

https://doi.org/10.37174/2587-7593-2022-5-2-76-80

Abstract

Purpose: Assessment of PET capabilities in the diagnosis of eosinophilic fasciitis.

Material and methods: A 37-year-old patient with complaints of subfebrile temperature, weight loss, swelling of the lower extremities, difficulty in movement in the knee joints underwent PET/CT with 18F-FDG to exclude paraneoplastic syndrome. According to the results of PET/CT, laboratory tests and anamnesis, eosinophilic fasciitis was suspected. A deep biopsy of the skin, muscles, fascia of the left shoulder was performed. Localization was chosen taking into account the convenience of anatomical access for biopsy, based on the highest values of accumulation of 18F-FDG. According to the results of morphological examination, the diagnosis of eosinophilic fasciitis was confirmed.

Conclusion: PET/CT made it possible, together with clinical and laboratory data, to assume the diagnosis of eosinophilic fasciitis, excluding paraneoplastic syndrome, and also to determine the optimal area for biopsy.

About the Authors

P. E. Tulin
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation

24 Kashirskoye Highway, Moscow, 115478



A. A. Odzharova
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation

24 Kashirskoye Highway, Moscow, 115478



M. A. Belyakova
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation

24 Kashirskoye Highway, Moscow, 115478



A. S. Krylov
N.N. Blokhin National Medical Research Center of Oncology
Russian Federation

24 Kashirskoye Highway, Moscow, 115478



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Review

For citations:


Tulin P.E., Odzharova A.A., Belyakova M.A., Krylov A.S. PET/CT with 18F-FDG in Eosinophilic Fasciitis. Clinical Case. Journal of oncology: diagnostic radiology and radiotherapy. 2022;5(2):76-80. (In Russ.) https://doi.org/10.37174/2587-7593-2022-5-2-76-80

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ISSN 2587-7593 (Print)
ISSN 2713-167X (Online)