A Case of Fever of Unknown Origin That Diagnosed as Early-phase of Takayasu Arteritis by FDG-PET/CT.

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  • Miyachi Hideki
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital
  • Kodani Eitaro
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital
  • Okazaki Reiko
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital
  • Yoshikawa Masatomo
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital
  • Matsumoto Shin
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital
  • Endoh Yasumi
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital
  • Nakagomi Akihiro
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital
  • Kusama Yoshiki
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital
  • Isobe Mitsuaki
    Department of Cardiovascular Medicine, Tokyo Medical and Dental University
  • Atarashi Hirotsugu
    Division of Cardiology, Department of Internal Medicine, Nippon Medical School Tama-Nagayama Hospital

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Other Title
  • 不明熱にて入院しFDG-PET/CTにより診断し得た早期高安動脈炎の1例
  • 今月の症例 不明熱にて入院しFDG-PET/CTにより診断し得た早期高安動脈炎の1例
  • コンゲツ ノ ショウレイ フメイ ネツ ニテ ニュウイン シ FDG PET CT ニ ヨリ シンダン シエタ ソウキ タカヤス ドウミャクエン ノ 1レイ

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Abstract

症例は21歳，女性．不明熱のため各種精査を行うも原因を同定できず．骨病変精査目的で施行したFDG-PET/CTにて大動脈弓部に異常集積を認め，早期の高安動脈炎と診断した．狭窄閉塞，拡張病変が明らかでない早期高安動脈炎の早期診断は現在のガイドラインでは困難である．しかし高安動脈炎は若年女性に好発し，重篤な心血管合併症が生じることからFDG-PET/CTによる早期診断が重要と考え報告する．<br>

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