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Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans

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 oc...

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Main Authors: Suppiah, Subapriya, Zakaria, Mohd Hazeman, Khalid, Bahariah, Mohamad Saini, Suraini, Othman, Norlijah
פורמט: Article
שפה:English
יצא לאור: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2017
גישה מקוונת:http://psasir.upm.edu.my/id/eprint/52567/1/2017051509451510_MJMHS_Jan_2017_-_0064_Diagnostic_Dilemma_Arthritis.pdf
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id oai:psasir.upm.edu.my:52567
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spelling oai:psasir.upm.edu.my:52567 http://psasir.upm.edu.my/id/eprint/52567/ Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans Suppiah, Subapriya Zakaria, Mohd Hazeman Khalid, Bahariah Mohamad Saini, Suraini Othman, Norlijah 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. Whole-body 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. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2017 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/52567/1/2017051509451510_MJMHS_Jan_2017_-_0064_Diagnostic_Dilemma_Arthritis.pdf Suppiah, Subapriya and Zakaria, Mohd Hazeman and Khalid, Bahariah and Mohamad Saini, Suraini and Othman, Norlijah (2017) Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans. Malaysian Journal of Medicine and Health Sciences, 13 (1). pp. 73-77. ISSN 1675-8544 http://www.medic.upm.edu.my/upload/dokumen/2017051509451510_MJMHS_Jan_2017_-_0064_Diagnostic_Dilemma_Arthritis.pdf
institution UPM IR
collection UPM IR
language English
description 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. Whole-body 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.
format Article
author Suppiah, Subapriya
Zakaria, Mohd Hazeman
Khalid, Bahariah
Mohamad Saini, Suraini
Othman, Norlijah
spellingShingle Suppiah, Subapriya
Zakaria, Mohd Hazeman
Khalid, Bahariah
Mohamad Saini, Suraini
Othman, Norlijah
Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans
author_facet Suppiah, Subapriya
Zakaria, Mohd Hazeman
Khalid, Bahariah
Mohamad Saini, Suraini
Othman, Norlijah
author_sort Suppiah, Subapriya
title Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans
title_short Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans
title_full Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans
title_fullStr Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans
title_full_unstemmed Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans
title_sort diagnostic dilemma of reactive arthritis aided by multimodality imaging using mri, cect and 18f-fdg pet/ct scans
publisher Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
publishDate 2017
url http://psasir.upm.edu.my/id/eprint/52567/1/2017051509451510_MJMHS_Jan_2017_-_0064_Diagnostic_Dilemma_Arthritis.pdf
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score 13.4562235

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