Disseminated Tuberculosis Mimicking Ankylosing Spondylitis
Ankylosing spondylitis is a chronic inflammatory disorder affecting mainly the axial skeleton. Here we report a case of a man with a clinical suspicion of ankylosing spondylitis but with a persistence of increased inflammatory markers. In this case, 18F-FDG-PET/CT revealed multiple hypermetabolic le...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2011/195085 |
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| _version_ | 1832562704197353472 |
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| author | Valérie Huyge Serge Goldman Muhammad S. Soyfoo |
| author_facet | Valérie Huyge Serge Goldman Muhammad S. Soyfoo |
| author_sort | Valérie Huyge |
| collection | DOAJ |
| description | Ankylosing spondylitis is a chronic inflammatory disorder affecting mainly the axial skeleton. Here we report a case of a man with a clinical suspicion of ankylosing spondylitis but with a persistence of increased inflammatory markers. In this case, 18F-FDG-PET/CT revealed multiple hypermetabolic lesions in axial skeleton, lymph nodes, and the lung, suggestive of either disseminated tuberculosis or lymphoma. Histological analysis of the pulmonary lesion revealed mycobacterium tuberculosis. This case highlights, firstly, the importance of excluding other diagnoses in the presence of clinical picture of ankylosing spondylitis and high inflammatory markers and, secondly, the determining role of PET/CT. |
| format | Article |
| id | doaj-art-da1a99134a8e440f99f00821715f8cb7 |
| institution | Kabale University |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-da1a99134a8e440f99f00821715f8cb72025-02-03T01:21:58ZengWileyCase Reports in Rheumatology2090-68892090-68972011-01-01201110.1155/2011/195085195085Disseminated Tuberculosis Mimicking Ankylosing SpondylitisValérie Huyge0Serge Goldman1Muhammad S. Soyfoo2Department of Nuclear Medicine, Hôpital Erasme, Université Libre de Bruxelles (ULB), 1070 Brussels, BelgiumDepartment of Nuclear Medicine, Hôpital Erasme, Université Libre de Bruxelles (ULB), 1070 Brussels, BelgiumDepartment of Rheumatology, Hôpital Erasme, Université Libre de Bruxelles (ULB), 1070 Brussels, BelgiumAnkylosing spondylitis is a chronic inflammatory disorder affecting mainly the axial skeleton. Here we report a case of a man with a clinical suspicion of ankylosing spondylitis but with a persistence of increased inflammatory markers. In this case, 18F-FDG-PET/CT revealed multiple hypermetabolic lesions in axial skeleton, lymph nodes, and the lung, suggestive of either disseminated tuberculosis or lymphoma. Histological analysis of the pulmonary lesion revealed mycobacterium tuberculosis. This case highlights, firstly, the importance of excluding other diagnoses in the presence of clinical picture of ankylosing spondylitis and high inflammatory markers and, secondly, the determining role of PET/CT.http://dx.doi.org/10.1155/2011/195085 |
| spellingShingle | Valérie Huyge Serge Goldman Muhammad S. Soyfoo Disseminated Tuberculosis Mimicking Ankylosing Spondylitis Case Reports in Rheumatology |
| title | Disseminated Tuberculosis Mimicking Ankylosing Spondylitis |
| title_full | Disseminated Tuberculosis Mimicking Ankylosing Spondylitis |
| title_fullStr | Disseminated Tuberculosis Mimicking Ankylosing Spondylitis |
| title_full_unstemmed | Disseminated Tuberculosis Mimicking Ankylosing Spondylitis |
| title_short | Disseminated Tuberculosis Mimicking Ankylosing Spondylitis |
| title_sort | disseminated tuberculosis mimicking ankylosing spondylitis |
| url | http://dx.doi.org/10.1155/2011/195085 |
| work_keys_str_mv | AT valeriehuyge disseminatedtuberculosismimickingankylosingspondylitis AT sergegoldman disseminatedtuberculosismimickingankylosingspondylitis AT muhammadssoyfoo disseminatedtuberculosismimickingankylosingspondylitis |