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Chojnowski MM, Mrozikiewicz-Rakowska B, Kobylecka M, et al. Radionuclide imaging and therapy in a patient with coexistent diabetic foot syndrome and psoriatic arthritis. Nucl Med Rev Cent East Eur. 2017;20(2):101-102doi: 10.5603/NMR.2017.0016.
Chojnowski, M. M., Mrozikiewicz-Rakowska, B., Kobylecka, M., Czupryniak, L., & Królicki, L. (2017). Radionuclide imaging and therapy in a patient with coexistent diabetic foot syndrome and psoriatic arthritis. Nuclear medicine review. Central & Eastern Europe, 20(2), 101-102. https://doi.org/10.5603/NMR.2017.0016
Chojnowski, Marek Marcin, et al. "Radionuclide imaging and therapy in a patient with coexistent diabetic foot syndrome and psoriatic arthritis." Nuclear medicine review. Central & Eastern Europe vol. 20,2 (2017): 101-102. doi: https://doi.org/10.5603/NMR.2017.0016
Chojnowski MM, Mrozikiewicz-Rakowska B, Kobylecka M, Czupryniak L, Królicki L. Radionuclide imaging and therapy in a patient with coexistent diabetic foot syndrome and psoriatic arthritis. Nucl Med Rev Cent East Eur. 2017;20(2):101-102. doi: 10.5603/NMR.2017.0016. PMID: 30900238.
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Nucl Med Rev Cent East Eur. 2017;20(2):101-102. doi: 10.5603/NMR.2017.0016.

Radionuclide imaging and therapy in a patient with coexistent diabetic foot syndrome and psoriatic arthritis.

Nuclear medicine review. Central & Eastern Europe

Marek Marcin Chojnowski, Beata Mrozikiewicz-Rakowska, Małgorzata Kobylecka, Leszek Czupryniak, Leszek Królicki

Affiliations

  1. Department of Nuclear Medicine, Medical University of Warsaw, ul. Banacha 1a, 02-097 Warszawa, Poland. [email protected].
  2. Department of Internal Medicine and Diabetology, Medical University of Warsaw, ul. Kondratowicza 8, 03-242 Warszawa, Poland.
  3. Department of Nuclear Medicine, Medical University of Warsaw, ul. Banacha 1a, 02-097 Warszawa, Poland.

PMID: 30900238 DOI: 10.5603/NMR.2017.0016

Abstract

We report a case of 67-year-old man suffering from psoriatic arthritis, type 2 diabetes and diabetic foot syndrome. The patient presented symptoms of inflammation of the right ankle joint. Scintigraphic imaging with radiolabeled white blood cells was performed to differentiate whether the inflammation was related to psoriatic arthritis or diabetic foot syndrome. After revealing that, the inflammatory process was restricted only to the articular space of subtalar joint, the patient was diagnosed with exacerbation of psoriatic arthritis and qualified for radionuclide synovectomy. In patients with coexistent diabetic foot syndrome and inflammatory arthritis of the foot it is of vital importance to accurately differentiate these two conditions. We conclude that this can be potentially achieved with radiolabeled white blood cells scintigraphic imaging.

Keywords: diabetic foot syndrome; nuclear imaging; psoriatic arthritis; radionuclide synovectomy

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