锝-99m HDP骨显像显示的甲氨蝶呤骨病

H. Stevens, Johannes W. G. JACOBS, P. V. van Rijk, J. D. de Klerk
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引用次数: 13

摘要

作者报告了一例类风湿性关节炎患者的Tc-99m HDP骨显像显示的甲氨蝶呤骨病。甲氨蝶呤作为一种大剂量的化疗药物被广泛使用。类风湿性关节炎和银屑病关节炎的剂量较低。甲氨蝶呤影响骨代谢,导致甲氨蝶呤性骨病,其特征为骨质疏松、骨痛,甚至自发性(微)骨折。微骨折的影像学显示是困难的。Tc-99m HDP骨扫描已被证明对甲氨蝶呤骨病引起的骨代谢变化的可视化非常敏感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Methotrexate Osteopathy Demonstrated by Technetium-99m HDP Bone Scintigraphy
The authors report a case of methotrexate osteopathy as revealed by Tc-99m HDP bone scintigraphy in a patient with rheumatoid arthritis. Methotrexate is used widely in high doses as a chemotherapeutic agent. Lower doses are given in rheumatoid and psoriatric arthritis. Methotrexate affects bone metabolism, resulting in methotrexate osteopathy, characterized by osteoporosis, osseus pain, and even spontaneous (micro)fractures. Radiographic visualization of microfractures is difficult. Tc-99m HDP bone scans have been shown to be very sensitive in the visualization of changes in bone metabolism as a result of methotrexate osteopathy.
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