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Radionuclide imaging and therapy in a patient with coexistent diabetic foot syndrome and psoriatic arthritis
Affiliations- Department of Nuclear Medicine, Medical University of Warsaw, Poland
- Department of Internal Medicine and Diabetology, Medical University of Warsaw, ul. Kondratowicza 8, 03-242 Warszawa, Poland
open access
Abstract
We report a case of 67-year-old man suffering from psoriatic arthritis, type 2 diabetes and diabetic foot syndrome. The patient presented symptoms of inflammation of the right ankle joint. Scintigraphic imaging with radiolabeled white blood cells was performed to differentiate whether the inflammation was related to psoriatic arthritis or diabetic foot syndrome. After revealing that, the inflammatory process was restricted only to the articular space of subtalar joint, the patient was diagnosed with exacerbation of psoriatic arthritis and qualified for radionuclide synovectomy. In patients with coexistent diabetic foot syndrome and inflammatory arthritis of the foot it is of vital importance to accurately differentiate these two conditions. We conclude that this can be potentially achieved with radiolabeled white blood cells scintigraphic imaging.
Abstract
We report a case of 67-year-old man suffering from psoriatic arthritis, type 2 diabetes and diabetic foot syndrome. The patient presented symptoms of inflammation of the right ankle joint. Scintigraphic imaging with radiolabeled white blood cells was performed to differentiate whether the inflammation was related to psoriatic arthritis or diabetic foot syndrome. After revealing that, the inflammatory process was restricted only to the articular space of subtalar joint, the patient was diagnosed with exacerbation of psoriatic arthritis and qualified for radionuclide synovectomy. In patients with coexistent diabetic foot syndrome and inflammatory arthritis of the foot it is of vital importance to accurately differentiate these two conditions. We conclude that this can be potentially achieved with radiolabeled white blood cells scintigraphic imaging.
Keywords
diabetic foot syndrome, psoriatic arthritis, nuclear imaging, radionuclide synovectomy
About this articleTitle
Radionuclide imaging and therapy in a patient with coexistent diabetic foot syndrome and psoriatic arthritis
Journal
Issue
Article type
Clinical vignette
Pages
101-102
Published online
2017-05-25
Page views
854
Article views/downloads
883
DOI
Pubmed
Bibliographic record
Nucl. Med. Rev 2017;20(2):101-102.
Keywords
diabetic foot syndrome
psoriatic arthritis
nuclear imaging
radionuclide synovectomy
Authors
Marek Marcin Chojnowski
Beata Mrozikiewicz-Rakowska
Małgorzata Kobylecka
Leszek Czupryniak
Leszek Królicki
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