Diagnostic Dilemma of Reactive Arthritis Aided by Multimodality Imaging using MRI, CECT and 18F-FDG PET/CT Scans
- VernacularTitle:Arthritis, Reactive; Aged
- Author:
Suppiah Suppiah
;
Mohd Hazeman Zakaria
;
Bahariah Khalid
;
Suraini Mohamad Saini
;
Norlijah Othman
- Publication Type:Case Reports
- Keywords:
Geriatric pain;
Chlamydia arthritis;
Hybrid imaging
- From:Malaysian Journal of Medicine and Health Sciences
2017;13(1):73-77
- CountryMalaysia
- Language:English
-
Abstract:
Reactive arthritis can be an elusive diagnosis especially in the elderly. A 77-year-old lady, presented with recent
history of hip pain. She had been treated for urinary tract infection caused by Chlamydia sp. and had associated
weight loss. She was also investigated for possible tuberculosis and occult malignancy. CT scan abdomen/pelvis and
MRI revealed peri-articular muscle inflammation. Biopsy of her hip joint failed to find the causative factor. Wholebody
18F-FDG PET/CT scan revealed increased FDG uptake at bilateral hip and shoulder joints. She recovered
after an intensive course of antibiotics. Thus, she was diagnosed with reactive arthritis. Reactive arthritis is usually a
diagnosis of exclusion made by a high index of suspicion and positive serology test. Molecular imaging can be an
alternative investigation for joint pains in the elderly, which enables excellent anatomical and functional information
to exclude more sinister conditions such as malignancy.
- Full text:P020170616566661869324.pdf
