早期复发性多软骨炎^(18)F-FDG PET/CT显像1例  

A case of early recurrent polychondritis with ^(18)F-FDG PET/CT imaging

作　　者：芮忠颖 曹凯悦 李越 陆东燕[1] 沈婕[1] Rui Zhongying;Cao Kaiyue;Li Yue;Lu Dongyan;Shen Jie(Department of Nuclear Medicine,Tianjin First Central Hospital,Tianjin 300110,China;Department of Pathology,Tianjin First Central Hospital,Tianjin 300110,China)

机构地区：[1]天津市第一中心医院核医学科,天津300110 [2]天津市第一中心医院病理科,天津300110

出　　处：《中国综合临床》2024年第3期219-222,共4页Clinical Medicine of China

摘　　要：复发性多软骨炎是一种罕见的全身性自身免疫性疾病,其累及部位广泛且发病症状不典型,同时无特异性的检查手段,导致早期诊断非常困难,从而严重影响患者预后。现报道1例因呼吸道症状就诊的老年女性患者,不适症状仅出现1个月余,胸部CT及喉镜未见明显异常,予抗菌、抗病毒等治疗,效果不佳;^(18)F-FDG PET/CT示气管支气管、鼻软骨及甲状软骨、环状软骨受累;经过病理学验证,临床诊断为复发性多软骨炎,给予激素及雷公藤多苷片治疗,患者目前无复发。Relapsing polychondritis is a rare systemic autoimmune disease,which involves a wide range of sites,has atypical symptoms,and has no specific means of examination,resulting in very difficult early diagnosis,which seriously affects the prognosis of patients.We report a case of an elderly female patient with respiratory symptoms,discomfort symptoms only appeared for more than 1 month,chest CT and laryngoscopy showed no obvious abnormalities.The effect of antibacterial,antiviral and anti-inflammatory treatment is not good.^(18)F-FDG PET/CT showed that trachea,bronchus,nasal cartilage,thyroid cartilage,cricoid cartilage were involved.After pathological examination,the patient was clinically diagnosed as relapsing polychondritis.After treatment with methylprednisolone and tripterygium glycoside tablets,the patient had no recurrence at present.

关 键 词：复发性多软骨炎 激素 雷公藤多苷片 

分 类 号：R593.2[医药卫生—内科学] R817.4[医药卫生—临床医学]