갈륨 신티그라피와 자기공명영상으로 진단한 근육 유육종증

A Case of Muscular Sarcoidosis diagnosed by Gallium-67 Scintigraphy and Magnetic Resonance Imaging

  • 손형선 (가톨릭대학교 의과대학 방사선과학교실) ;
  • 김의녕 (가톨릭대학교 의과대학 방사선과학교실)
  • Sohn, Hyung-Sun (Department of Radiology, College Medicine, The Catholic University of Korea) ;
  • Kim, Euy-Neyng (Department of Radiology, College Medicine, The Catholic University of Korea)
  • 발행 : 1999.12.30

초록

Gallium-67 scintigraphy is helpful in the assessment of active extrapulmonary sarcoidosis. Muscular involvement of sarcoidosis is often asymptomatic or nonspecific, and laboratory examinations do not provide convincing evidence of muscular involvement We report a case of muscular sarcoidosis, which was detected by gallium-67 scintigraphy. In a patient who was suffering from fever and arthralgia of knee joint, gallium-67 scintigraphy showed mediastinal and hilar involvement of sarcoidosis with unexpected extensive muscular uptake. Magenetic resonance imaging revealed the detailed depiction of intramuscular infiltration of sarcoid granuloma. Gallium-67 scintigraphy is useful in detecting inflammatory muscular involvement of sarcoidosis as well as other multiorgan involvement.

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