Akademik Veri Yönetim Sistemi
Clinical Nuclear Medicine, cilt.26, sa.10, ss.889-890, 2001 (SCI-Expanded, Scopus)
The authors report an unusual case of Tc-99m MIBI uptake by parathyroid hyperplasia and Tc-99m MDP uptake by a single vertebral osteomyelitis in a patient with primary hyperparathyroidism. A 54-year-old woman was examined for weight loss, weakness, constipation, and nonspecific skeletal and joint pains. Laboratory examination, including serum parathormone, calcium ion, and alkaline phosphatase levels were increased. The serum phosphorus ion level was decreased. Tc-99m MIBI scintigraphy revealed on accumulation of radiotracer in the left lower parathyroid region and was deemed a parathyroid adenoma or hyperplasia. Surgery and histopathologic analysis confirmed the diagnosis of parathyroid hyperplasia. Tc-99m MDP bone scintigraphy was performed 10 days later, and radiotracer showed intense uptake in the fifth thoracic vertebra. This was an unexpected and confusing finding in the diagnosis of this bone abnormality.