• Internal medicine · Jan 2013

    Case Reports

    A Japanese case of vertebral sarcoidosis.

    • Daichi Fujimoto, Keisuke Tomii, Kojiro Otsuka, Yuki Okutani, Keiichi Kawanabe, and Yukihiro Imai.
    • Department of Respiratory Medicine, Kobe City Medical Center General Hospital, Japan.
    • Intern. Med. 2013 Jan 1; 52 (24): 282528292825-9.

    AbstractWe herein report the first Japanese case of vertebral sarcoidosis diagnosed using multiple imaging modalities and a biopsy. CT, MRI and (18)F-fluorodeoxyglucose positron emission tomography (18F-FDG PET) detected multiple vertebral lesions, and a vertebral biopsy guided by the PET findings confirmed the diagnosis of vertebral sarcoidosis. Although the disease was refractory to corticosteroids, treatment with methotrexate (MTX) achieved a good response. Our case suggests that MRI and 18F-FDG PET are useful for determining the site for a biopsy and that MTX is effective for treating vertebral sarcoidosis.

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