药物性结节样反应表现为筋膜炎。

IF 9.6 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Clinical Nuclear Medicine Pub Date : 2025-10-01 Epub Date: 2025-08-18 DOI:10.1097/RLU.0000000000006058
Shreyas B Jayade, Mariam Alavidze, Shweta K Tonny, Raghuveer K Halkar
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引用次数: 0

摘要

药物诱导的肉瘤样反应(DISRs)在临床管理中提出了复杂的挑战。FDG-PET/CT扫描最常见的表现是双侧对称淋巴结病,偶尔累及脾和骨。DISR表现为筋膜炎/肌筋膜炎极为罕见。我们将讨论化疗前、化疗后和随访的FDG-PET/ CT扫描,显示disr诱导的筋膜炎和停止免疫治疗后的结果。如何诊断和管理DISR仍然存在争议。根据症状的严重程度,组织确认或短间隔随访扫描可导致诊断,停止治疗或继续治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Drug-induced Sarcoid-like Reaction Presenting as Fascitis.

Drug-induced sarcoid-like reactions (DISRs) present complex challenges in clinical management. The most common presentation in FDG-PET/CT scan is bilateral symmetrical lymphadenopathy, and occasionally spleen and bone involvement. DISR presenting as fasciitis/ myofasciitis is extremely rare. We will discuss pre-chemo, post-chemo, and follow-up FDG-PET/ CT scans, exhibiting DISR-induced fasciitis and resolution of findings after cessation of immunotherapy. How to diagnose and manage DISR is still debatable. Histologic confirmation or short interval follow-up scans with resolution findings can lead to the diagnosis, depending on the severity of symptoms, cessation of therapy or continuation of therapy is instituted.

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来源期刊
Clinical Nuclear Medicine
Clinical Nuclear Medicine 医学-核医学
CiteScore
2.90
自引率
31.10%
发文量
1113
审稿时长
2 months
期刊介绍: Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.
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