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  • Title: Isolated Muscular Sarcoidosis Revealed by Hypercalcemia and 18F-FDG PET/CT.
    Author: Dhomps A, Foret T, Streichenberger N, Skanjeti A, Tordo J.
    Journal: Clin Nucl Med; 2019 Oct; 44(10):824-825. PubMed ID: 31274562.
    Abstract:
    A 43-year-old woman, with previous history of renal lithiasis, was admitted on an emergency for severe hypercalcemia fortuitously discovered in a context of rapidly progressive kidney failure. An F-FDG PET/CT performed to rule out underlying malignancy revealed an intense diffuse and isolated muscular FDG uptake with fascia infiltration on the CT finding. A muscular biopsy was performed and demonstrated a non-necrosing granuloma with multinucleated giant cells consistent with muscular sarcoidosis. A corticotherapy was started with a rapid normalization of serum calcium level. The follow-up F-FDG PET/CT 4 months later showed a complete response of the sarcoidosis myositis.
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