open access

Vol 20, No 2 (2017)
Clinical vignette
Published online: 2017-05-25
Submitted: 2016-04-20
Accepted: 2017-04-28
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Radionuclide imaging and therapy in a patient with coexistent diabetic foot syndrome and psoriatic arthritis

Marek Marcin Chojnowski, Beata Mrozikiewicz-Rakowska, Małgorzata Kobylecka, Leszek Czupryniak, Leszek Królicki
DOI: 10.5603/NMR.2017.0016
·
Pubmed: 30900238
·
Nucl. Med. Rev 2017;20(2):101-102.

open access

Vol 20, No 2 (2017)
Clinical vignette
Published online: 2017-05-25
Submitted: 2016-04-20
Accepted: 2017-04-28

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.

Get Citation

Keywords

diabetic foot syndrome, psoriatic arthritis, nuclear imaging, radionuclide synovectomy

About this article
Title

Radionuclide imaging and therapy in a patient with coexistent diabetic foot syndrome and psoriatic arthritis

Journal

Nuclear Medicine Review

Issue

Vol 20, No 2 (2017)

Article type

Clinical vignette

Pages

101-102

Published online

2017-05-25

DOI

10.5603/NMR.2017.0016

Pubmed

30900238

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

References (5)
  1. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA. 2005; 293(2): 217–228.
  2. Solomon DH, Love TJ, Canning C, et al. Risk of diabetes among patients with rheumatoid arthritis, psoriatic arthritis and psoriasis. Ann Rheum Dis. 2010; 69(12): 2114–2117.
  3. Mallbris L, Ritchlin CT, Ståhle M. Metabolic disorders in patients with psoriasis and psoriatic arthritis. Curr Rheumatol Rep. 2006; 8(5): 355–363.
  4. Graif M, Schweitzer ME, Deely D, et al. The septic versus nonseptic inflamed joint: MRI characteristics. Skeletal Radiol. 1999; 28(11): 616–620.
  5. Galluzzo E, Lischi DM, Taglione E, et al. Sonographic analysis of the ankle in patients with psoriatic arthritis. Scand J Rheumatol. 2000; 29(1): 52–55.

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