Background: Osteoid osteoma is a benign tumor, predominantly affects the younger age group with characteristic nocturnal symptoms, relieved by rest and anti-inflammatory drugs. It can affect any bone; most common site is shaft of long bones of lower limb (90%). It is quite uncommon to find osteoid osteoma in acromion of scapula.
Background:
Skeletal tuberculosis accounts for 1% to 5% of all tuberculosis (TB) cases. Multifocal skeletal tuberculosis is rare. Early diagnosis of multifocal skeletal TB is crucial and challenging for proper treatment and to prevent development of complications. The purpose of this case report is to highlight importance of bone scan in suspected cases of skeletal tuberculosis.
Case Presentation:
We describe a case of 24-year-old female, referred to Nuclear Medicine Department for bone scintigraphy. Patient had complaint of neck stiffness and generalized body aches. Patient underwent 99mTc-methylene diphosphonate scintigraphy which showed multifocal bony pathology mimicking bony metastasis. However, patient was treated with anti-tuberculous therapy and showed excellent response on follow up bone scan. Post-therapy: patient recovered without developing any complications.
Conclusion:
Multifocal skeletal tuberculosis must be kept in the differential diagnosis of multifocal bony pathology seen on bone scintigraphy.
Background: Iodine-131 (I-131) therapy is a well-established method for the treatment of differentiated thyroid cancer [carcinoma (CA)]. Following such therapy, patients may experience complications classified as early/intermediate or delayed side effects. We report an unusual side effect after oral I-131 therapy in the form of a skin eruption (iododerma).
Case Presentation: We describe a case of a 60-year-old female, presented with pustular lesions all over skin after radioiodine therapy for CA thyroid. On the basis of history and clinical examination, diagnosis of iododerma was made.
Conclusion: Iododerma is a very rare complication of radioiodine therapy. When pustular lesions develop after radioiodine therapy, iododerma should be kept in mind after the exclusion of other differentials. It appears within 4-6 weeks after therapy and is a self-limiting condition.
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