Bone scintigraphy in diagnosing chronic recurrent multifocal osteomyelitis

Authors

  • Kamran Aryana Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Mahsa Sabour Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Sarah Ghahremani Pediatrics Department, Imam Reza hospital, Mashhad University of Medical Sciences, Mashhad, Iran
  • Somayeh Ghahremani Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Susan Shafiei Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:

A 10-year-old boy was referred to us for evaluation of FUO accompanied with bone pain in both calves. Three hours after intravenous injection of 13 mCi of 99mTc-MDP, whole body scan in multiple spot views was performed. The scan showed symmetrical areas of diffusely increased tracer uptake in multiple long bones. Histopathologic evaluation confirmed osteosclrosis and fibrotic changes without any bacterial growth in the specimen culture. Based on patient’s history, lab results, bone scan and histopathologic findings, chronic recurrent multifocal osteomyelitis (CRMO) was considered as the most likely diagnosis. Dramatic response to NSAIDs and pamidronate therapy confirmed the diagnosis of CRMO.

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Journal title

volume 25  issue Supplement 1

pages  66- 69

publication date 2017-02-01

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