99mTc-Methylene Diphosphonate Bone Scintigraphy Findings in Posttransplant Distal Limb Syndrome

被引：1
|
作者：
Derlin, Thorsten [1 ]
Busch, Jasmin D. [1 ]
Bannas, Peter [1 ]
机构：
[1] Univ Med Ctr Hamburg Eppendorf, Dept Diagnost & Intervent Radiol, D-20246 Hamburg, Germany
来源：
CLINICAL NUCLEAR MEDICINE | 2014年 / 39卷 / 07期
关键词：
posttransplant distal limb syndrome; PTDLS; CNI; transplantation; bone pain; bone scan; MARROW EDEMA; PAIN; TRANSPLANTATION; APPEARANCE; MRI;
D O I：
10.1097/RLU.0000000000000479
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
We report a case of posttransplant distal limb syndrome (PTDLS) representing a rare complication in kidney transplant recipients characterized by a pain syndrome of the distal extremities. A 68-year-old man with a history of kidney transplantation presented with symmetrical and incapacitating pain in the feet and knees and underwent whole-body 99mTc-methylene diphosphonate (MDP) scintigraphy for further evaluation. Planar scintigraphy demonstrated marked tracer uptake in the distal femoral and tibial epiphyses, and magnetic resonance imaging showed corresponding osteoedema. 99mTc-MDP scintigraphy is a valuable tool for evaluation of the etiology of musculoskeletal pain and may demonstrate typical findings in case of PTDLS. © 2014 by Lippincott Williams & Wilkins.
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页码：646 / 647
页数：2
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