Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans
Reactive arthritis can be an elusive diagnosis especially in the elderly. A 77-year-old lady, presented with recent history of hip pain. She had been treated for urinary tract infection caused by Chlamydia sp. and had associated weight loss. She was also investigated for possible tuberculosis and oc...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
2017
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| Online Access: | http://psasir.upm.edu.my/id/eprint/52567/ http://psasir.upm.edu.my/id/eprint/52567/1/2017051509451510_MJMHS_Jan_2017_-_0064_Diagnostic_Dilemma_Arthritis.pdf |
| _version_ | 1848852140021252096 |
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| author | Suppiah, Subapriya Zakaria, Mohd Hazeman Khalid, Bahariah Mohamad Saini, Suraini Othman, Norlijah |
| author_facet | Suppiah, Subapriya Zakaria, Mohd Hazeman Khalid, Bahariah Mohamad Saini, Suraini Othman, Norlijah |
| author_sort | Suppiah, Subapriya |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Reactive arthritis can be an elusive diagnosis especially in the elderly. A 77-year-old lady, presented with recent history of hip pain. She had been treated for urinary tract infection caused by Chlamydia sp. and had associated weight loss. She was also investigated for possible tuberculosis and occult malignancy. CT scan abdomen/pelvis and MRI revealed peri-articular muscle inflammation. Biopsy of her hip joint failed to find the causative factor. Whole-body 18F-FDG PET/CT scan revealed increased FDG uptake at bilateral hip and shoulder joints. She recovered after an intensive course of antibiotics. Thus, she was diagnosed with reactive arthritis. Reactive arthritis is usually a diagnosis of exclusion made by a high index of suspicion and positive serology test. Molecular imaging can be an alternative investigation for joint pains in the elderly, which enables excellent anatomical and functional information to exclude more sinister conditions such as malignancy. |
| first_indexed | 2025-11-15T10:33:20Z |
| format | Article |
| id | upm-52567 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T10:33:20Z |
| publishDate | 2017 |
| publisher | Faculty of Medicine and Health Sciences, Universiti Putra Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-525672017-06-07T04:15:11Z http://psasir.upm.edu.my/id/eprint/52567/ Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans Suppiah, Subapriya Zakaria, Mohd Hazeman Khalid, Bahariah Mohamad Saini, Suraini Othman, Norlijah Reactive arthritis can be an elusive diagnosis especially in the elderly. A 77-year-old lady, presented with recent history of hip pain. She had been treated for urinary tract infection caused by Chlamydia sp. and had associated weight loss. She was also investigated for possible tuberculosis and occult malignancy. CT scan abdomen/pelvis and MRI revealed peri-articular muscle inflammation. Biopsy of her hip joint failed to find the causative factor. Whole-body 18F-FDG PET/CT scan revealed increased FDG uptake at bilateral hip and shoulder joints. She recovered after an intensive course of antibiotics. Thus, she was diagnosed with reactive arthritis. Reactive arthritis is usually a diagnosis of exclusion made by a high index of suspicion and positive serology test. Molecular imaging can be an alternative investigation for joint pains in the elderly, which enables excellent anatomical and functional information to exclude more sinister conditions such as malignancy. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2017 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/52567/1/2017051509451510_MJMHS_Jan_2017_-_0064_Diagnostic_Dilemma_Arthritis.pdf Suppiah, Subapriya and Zakaria, Mohd Hazeman and Khalid, Bahariah and Mohamad Saini, Suraini and Othman, Norlijah (2017) Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans. Malaysian Journal of Medicine and Health Sciences, 13 (1). pp. 73-77. ISSN 1675-8544 http://www.medic.upm.edu.my/upload/dokumen/2017051509451510_MJMHS_Jan_2017_-_0064_Diagnostic_Dilemma_Arthritis.pdf |
| spellingShingle | Suppiah, Subapriya Zakaria, Mohd Hazeman Khalid, Bahariah Mohamad Saini, Suraini Othman, Norlijah Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans |
| title | Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans |
| title_full | Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans |
| title_fullStr | Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans |
| title_full_unstemmed | Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans |
| title_short | Diagnostic dilemma of reactive arthritis aided by multimodality imaging using MRI, CECT and 18F-FDG PET/CT scans |
| title_sort | diagnostic dilemma of reactive arthritis aided by multimodality imaging using mri, cect and 18f-fdg pet/ct scans |
| url | http://psasir.upm.edu.my/id/eprint/52567/ http://psasir.upm.edu.my/id/eprint/52567/ http://psasir.upm.edu.my/id/eprint/52567/1/2017051509451510_MJMHS_Jan_2017_-_0064_Diagnostic_Dilemma_Arthritis.pdf |