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Inicio Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) 18F-FDG PET-CT usefulness in extra-pancreatic involvement in IgG4 related diseas...
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Vol. 33. Issue 6.
Pages 366-369 (November - December 2014)
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Vol. 33. Issue 6.
Pages 366-369 (November - December 2014)
Clinical note
18F-FDG PET-CT usefulness in extra-pancreatic involvement in IgG4 related diseases
Utilidad de la 18F-FDG PET-TC en las manifestaciones extrapancreáticas de las enfermedades relacionadas con IgG4
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R. Cárdenas-Perilla
Corresponding author
racarden@vhebron.net

Corresponding author.
, J. Monturiol-Duran, M. Simó-Perdigó, M. Barios-Profitós, J. Castell-Conesa
Servicio Medicina Nuclear, Hospital Universitari Vall d’Hebron, Barcelona, Spain
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Abstract

IgG4-related diseases are a group of recently identified entities that include disorders that were previously known by other names, such as Mikulicz disease, Küttner's tumor, Riedel thyroiditis, among others, as well as some new ones described in the last years.

These pathologies are a challenge for the medical community in terms of diagnosis and characterization due to their wide spectrum of clinical presentation.

Functional imaging can provide a new approach to the comprehension of physiopathology, staging and targeting site of biopsy of IgG4-related diseases.

In this clinical note, we describe five patients who underwent 18F-FDG PET-CT and correlate their findings with previous reports.

Keywords:
IgG4 related diseases
18F-FDG PET-CT
Retroperitoneal fibrosis
Extrapancreatic IgG4 related diseases
Resumen

Las enfermedades relacionadas con IgG4 son un grupo de entidades recientemente identificadas; que engloban a patologías anteriormente conocidas como la enfermedad de Mikulicz, el tumor de Küttner y la tiroiditis de Riedel entre otras, las cuales se creían que eran entidades diferentes, y otras descritas en los últimos años.

Estas patologías plantean un reto diagnóstico para el clínico y el médico nuclear, dado su amplio espectro de presentación clínica.

La imagen funcional puede brindar un nuevo abordaje con respecto a la fisiopatología, estudio de extensión y optimización de los sitios de biopsia, en las enfermedades relacionadas con IgG4.

En esta nota clínica presentamos cinco 5 casos clínicos, valorados mediante 18F-FDG PET-TC y correlacionamos sus hallazgos con la literatura médica reciente.

Palabras clave:
Enfermedades relacionadas con IgG4
18F-FDG PET-TC
fibrosis Fibrosis retroperitoneal
Enfermedades Enfermedades relacionadas con IgG4 extra-pancreática

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