18F-Fluorodeoxy glucose (FDG) uptake in nontraumatic bilateral adrenal hemorrhage secondary to heparin-associated thrombocytopenia syndrome (HATS)—a case report
18F-Fluorodeoxy glucose (FDG) activity reflects tissue glucose metabolism; malignancies, metastases, and acute infections have relatively increased FDG activity reflecting increased glucose metabolism. Benign adrenal disease demonstrating mild FDG uptake can be worrisome for metastasis in patients w...
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| Published in: | Clinical imaging Vol. 31; no. 2; pp. 137 - 140 |
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| Format: | Journal Article |
| Language: | English |
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Elsevier Inc
01-03-2007
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| Abstract | 18F-Fluorodeoxy glucose (FDG) activity reflects tissue glucose metabolism; malignancies, metastases, and acute infections have relatively increased FDG activity reflecting increased glucose metabolism. Benign adrenal disease demonstrating mild FDG uptake can be worrisome for metastasis in patients with a history of malignancy.
Our patient with breast and colon cancer developed gastrointestinal bleeding on heparin therapy, enlarged adrenals with heterogeneous attenuation consistent with hemorrhage and blood clots as seen on abdominal computed tomography scan, and as abnormal intense FDG activity in the bilateral adrenal glands on positron emission tomography scan. |
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| AbstractList | 18F-Fluorodeoxy glucose (FDG) activity reflects tissue glucose metabolism; malignancies, metastases, and acute infections have relatively increased FDG activity reflecting increased glucose metabolism. Benign adrenal disease demonstrating mild FDG uptake can be worrisome for metastasis in patients with a history of malignancy.
Our patient with breast and colon cancer developed gastrointestinal bleeding on heparin therapy, enlarged adrenals with heterogeneous attenuation consistent with hemorrhage and blood clots as seen on abdominal computed tomography scan, and as abnormal intense FDG activity in the bilateral adrenal glands on positron emission tomography scan. |
| Author | Joseph, Usha A. Wan, David Q. Barron, Bruce J. |
| Author_xml | – sequence: 1 givenname: Usha A. surname: Joseph fullname: Joseph, Usha A. – sequence: 2 givenname: Bruce J. surname: Barron fullname: Barron, Bruce J. – sequence: 3 givenname: David Q. surname: Wan fullname: Wan, David Q. |
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| Cites_doi | 10.1016/j.tem.2004.06.012 10.2214/ajr.173.1.10397094 10.7326/0003-4819-110-3-227 10.2214/ajr.168.5.9129444 10.1590/S0004-27302004000500004 10.1148/radiographics.21.4.g01jl21995 10.1007/BF01711091 10.1148/radiographics.19.4.g99jl13949 10.1016/S0009-9260(03)00338-6 10.2214/ajr.139.1.81 10.2214/ajr.154.5.2108567 |
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| Keywords | 18F-FDG PET Heparin-associated thrombocytopenia syndrome (HATS) Adrenal gland Nontraumatic hemorrhage Radionuclide study Thrombocytopenia Adrenal glands Bilateral Hemopathy Anticoagulant Glucose Hemorrhage Case study Platelet Glycosaminoglycan Heparin Positron emission tomography Emission tomography |
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| References | Sahdev, Reznek (bib12) 2004; 15 Rao, Vagnucci, Amico (bib5) 1989; 110 Dunnick (bib10) 1990; 154 Maurea, Mainolfi, Brazzicalupo (bib7) 1999; 173 Glazer, Weyman, Sagal, Levitt, McClennan (bib9) 1982; 139 Kawashima, Sandier, Ernst, Takahashi, Roubidoux, Goldman, Fishman, Dunnick (bib1) 1999; 19 Pommier, Brennan (bib13) 1992; 112 Yun, Kim, Alnafisi, Lacorte, Jang, Alavi (bib8) 2001; 42 Tan, Moore (bib4) 2003; 58 Goldman, Coelho, Filho, Abdala, Szejnfeld, Fario, Judice, Francisco, Kenney, Szejnfeld (bib11) 2004; 48/5 Delhumeau, Moreau, Chapotte, Houi, Bigorgne (bib2) 1993; 19 Mayo-Smith, Boland, Noto, Lee (bib3) 2001; 21 Erasmus, Patz, McAdams (bib6) 1997; 168 Delhumeau (10.1016/j.clinimag.2006.12.025_bib2) 1993; 19 Glazer (10.1016/j.clinimag.2006.12.025_bib9) 1982; 139 Yun (10.1016/j.clinimag.2006.12.025_bib8) 2001; 42 Mayo-Smith (10.1016/j.clinimag.2006.12.025_bib3) 2001; 21 Sahdev (10.1016/j.clinimag.2006.12.025_bib12) 2004; 15 Tan (10.1016/j.clinimag.2006.12.025_bib4) 2003; 58 Kawashima (10.1016/j.clinimag.2006.12.025_bib1) 1999; 19 Maurea (10.1016/j.clinimag.2006.12.025_bib7) 1999; 173 Erasmus (10.1016/j.clinimag.2006.12.025_bib6) 1997; 168 Dunnick (10.1016/j.clinimag.2006.12.025_bib10) 1990; 154 Rao (10.1016/j.clinimag.2006.12.025_bib5) 1989; 110 Goldman (10.1016/j.clinimag.2006.12.025_bib11) 2004; 48/5 Pommier (10.1016/j.clinimag.2006.12.025_bib13) 1992; 112 |
| References_xml | – volume: 154 start-page: 927 year: 1990 end-page: 936 ident: bib10 article-title: Adrenal imaging: current status publication-title: AJR Am J Roentgenol contributor: fullname: Dunnick – volume: 19 start-page: 475 year: 1993 end-page: 477 ident: bib2 article-title: Heparin-associated thrombocytopenia syndrome: an underestimated etiology of adrenal hemorrhage publication-title: Intensive Care Med contributor: fullname: Bigorgne – volume: 21 start-page: 995 year: 2001 end-page: 1012 ident: bib3 article-title: State-of-the-art adrenal imaging publication-title: Radiographics contributor: fullname: Lee – volume: 58 start-page: 890 year: 2003 end-page: 892 ident: bib4 article-title: Spontaneous idiopathic bilateral adrenal hemorrhage in adults publication-title: Clin Radiol contributor: fullname: Moore – volume: 110 start-page: 227 year: 1989 end-page: 235 ident: bib5 article-title: Bilateral massive adrenal hemorrhage early recognition and treatment publication-title: 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| SubjectTerms | 18F-FDG PET Adrenal gland Biological and medical sciences Hematologic and hematopoietic diseases Heparin-associated thrombocytopenia syndrome (HATS) Medical sciences Nontraumatic hemorrhage Platelet diseases and coagulopathies |
| Title | 18F-Fluorodeoxy glucose (FDG) uptake in nontraumatic bilateral adrenal hemorrhage secondary to heparin-associated thrombocytopenia syndrome (HATS)—a case report |
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