Nuclear Medicine and Molecular Imaging

The Korean Society of Nuclear Medicine (대한핵의학회)
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Camurati-Engelmann's Disease on $^{99m}Tc$-MDP Bone Scan

Camurati-Engelmann 병의 뼈스캔 소견

  • Yoon, Hai-Jeon (Department of Nuclear Medicine, Seoul National University College of Medicine) ;
  • Oh, So-Won (Department of Nuclear Medicine, Seoul National University College of Medicine) ;
  • Paeng, Jin-Chul (Department of Nuclear Medicine, Seoul National University College of Medicine) ;
  • Lee, You-Kyung (Department of Radiology, Seoul National University College of Medicine) ;
  • Choi, In-Ho (Department of Orthopedics, Seoul National University College of Medicine) ;
  • Lee, Dong-Soo (Department of Nuclear Medicine, Seoul National University College of Medicine)
  • 윤혜전 (서울대학교 의과대학 핵의학교실) ;
  • 오소원 (서울대학교 의과대학 핵의학교실) ;
  • 팽진철 (서울대학교 의과대학 핵의학교실) ;
  • 이유경 (서울대학교 의과대학 영상의학교실) ;
  • 최인호 (서울대학교 의과대학 정형외과교실) ;
  • 이동수 (서울대학교 의과대학 핵의학교실)
  • Published : 2009.12.30
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Abstract

A 24 year-old female presented for a $^{99m}Tc$-methylene diphosphonatae (MDP) whole body bone scan due to chronic pain in the bilateral lower extremities that has aggravated since 2002. She was diagnosed with Camurati-Engelmann disease (CED) based on the clinical and radiological findings in 2002, and she re-visited our institute to evaluate disease status at this time. CED is a rare autosomal dominant type of bone dysplasia characterized by progressive cortical thickening of long bones, and narrowing of medullary cavity, and thus presents with typical clinical symptoms and signs such as chronic pain in the extremities, muscle weakness, and waddling gait. On the $^{99m}Tc$-MDP bone scan performed to evaluate disease status, intense increased uptake was seen in the skull, facial bones, bilateral scapulae, bilateral long bones, and bilateral pelvic bones, which clearly demonstrated the extent of CED involvement.

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