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Open Access 01-08-2020 | Vasculitis | Cases with a Message

The importance of FDG PET/CT in the diagnostic process of the middle aortic syndrome in a 15-year-old boy patient with suspected systemic vasculitis and final diagnosis of Williams–Beuren syndrome

Authors: Violetta Opoka-Winiarska, Maria Barbara Tomaszek, Aleksandra Sobiesiak, Aleksandra Rybkowska, Monika Lejman, lIona Jaszczuk, Magdalena Maria Woźniak, Edyta Zielonka-Lamparska, Beata Chrapko

Published in: Rheumatology International | Issue 8/2020

Abstract

The differential diagnosis in children with the systemic vasculopathy is still a challenge for clinicians. The progress in vascular imaging and the latest recommendations improve the diagnostic process, but only single reports describe the use of new imaging tests in children. The publication aims to demonstrate the important role of 18F-fluoro-2-deoxy-d-glucose (FDG) positron emission tomography combined with anatomical computed tomography angiography (PET/CTA) imaging in the case of a 15-year-old boy with chest pain, intermittent claudication, hypertension and features of middle aortic syndrome in computed tomography angiography (CTA). The patient was suspected to have Takayasu arteritis, but was finally diagnosed with Williams–Beuren syndrome. The case indicates that the FDG PET/CT imaging might be essential in the diagnostic process of middle aortic syndrome in children. We suggest that this imaging technique should be considered in the diagnostic process of systemic vasculopathy particularly in children.

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Title: The importance of FDG PET/CT in the diagnostic process of the middle aortic syndrome in a 15-year-old boy patient with suspected systemic vasculitis and final diagnosis of Williams–Beuren syndrome
Authors: Violetta Opoka-Winiarska
Maria Barbara Tomaszek
Aleksandra Sobiesiak
Aleksandra Rybkowska
Monika Lejman
lIona Jaszczuk
Magdalena Maria Woźniak
Edyta Zielonka-Lamparska
Beata Chrapko
Publication date: 01-08-2020
Publisher: Springer Berlin Heidelberg
Keywords: Vasculitis
Vasculitis
Takayasu's Arteriitis
Takayasu's Arteriitis
CT Angiography
Positron Emission Tomography
Published in: Rheumatology International / Issue 8/2020
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI: https://doi.org/10.1007/s00296-020-04550-3

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