Spontaneous Reduction in Abnormal Myocardial Uptake of Fluorine-18 Fluorodeoxygluose in a Patient with Cardiac Sarcoidosis

Spontaneous Reduction in Abnormal Myocardial Uptake of Fluorine-18 Fluorodeoxygluose in a Patient with Cardiac Sarcoidosis
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DOI:
10.1536/ihj.17-315
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发表时间:
2018-05-01
影响因子:
1.5
通讯作者:
Ishizaka, Nobukazu
Ishizaka, Nobukazu
中科院分区:
医学4区
文献类型:
--
作者:
Terasaki, Fumio;Fujita, Shu-ichi;Ishizaka, Nobukazu

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Fluorine-18 fluorodeoxygluose (F-18-FDG) positron emission tomography (PET) is a useful tool for evaluating disease activity in sarcoidosis including cardiac involvement. A 67-year-old patient who developed atrioventricular block requiring permanent pacemaker implantation was diagnosed with cardiac sarcoidosis. The patient did not undergo steroid or immunosuppressive therapy but underwent serial F-18-FDG PET examination, which showed spontaneous reduction in the myocardial FDG uptake, indicating the remission of immune-inflammatory activity. Although the global systolic function remained preserved, thinning of the septal wall emerged during the clinical course of follow-up, which is characteristic for cardiac sarcoidosis.