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Active Tattoo Sarcoidosis on 18F-FDG PET/CT | OMICS International
ISSN: 2572-5130
Medical Reports & Case Studies

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Active Tattoo Sarcoidosis on 18F-FDG PET/CT

Scholtens AM1*, Bülbül M2 and Keizer BD3

1Department of Nuclear Medicine, Meander Medical Center, Amersfoort, The Netherlands

2Division of Cardiothoracic disease, Department of Respiratory Medicine, University Medical Center Utrecht, Utrecht, The Netherlands

3Division of Imaging, Department of Nuclear Medicine, University Medical Center Utrecht, Utrecht, The Netherlands

*Corresponding Author:
Scholtens AM
Department of Nuclear Medicine
Meander Medical Center
Amersfoort, The Netherlands
Tel: 31338502860
E-mail: [email protected]

Received Date: February 01, 2016; Accepted Date: April 01, 2016; Published Date: April 10, 2016

Citation: Scholtens AM, Bülbül M, Keizer BD (2016) Active Tattoo Sarcoidosis on 18F-FDG PET/CT. Med Rep Case Stud 1: 108. doi: 10.4172/2572-5130.1000108

Copyright: © 2016 Scholtens AM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Introduction

This patient presented with fatigue and skin lesions in shoulder and arm tattoos, placed 7 and 18 years ago respectively. Sarcoidosis was histologically proven. Reoriented 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) and corresponding photographs of skin lesions in tattoos on the right shoulder (A and B) and right upper arm (C and D) show complete correlation between tattoo sarcoidosis and metabolic disease activity. Maximum intensity projection image of the FDG-PET study (E) shows additional active sarcoidosis in cervical, mediastinal, hilar, axillary, abdominal and inguinal lymph nodes, the left ear, two subcutaneous nodules in the lower back, and heterogeneously in the spine and pelvis (Figure 1).

medical-reports-case-studies-maximum-intensity

Figure 1: Maximum intensity projection image of the FDG-PET.

This image reminds us that skin lesions may be the first symptom of systemic sarcoidosis and such findings should prompt further investigation of other organ systems, and that 18F-FDG-PET(/CT) is highly capable of visualizing disease activity in the entire body in a single study.

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