Gallium scintigraphy in a case of tuberculous trochanteric bursitis

Abstract

We report a 67-year-old woman with systemic lupus erythematosus and systemic disseminated tuberculosis affecting the femoral trochanteric bursae, a site rarely affected by tuberculosis. For quantification of the inflammation with gallium-67 scintigraphy, we calculated the radioisotope count ratio in the most inflamed areas, the right lateral thorax and bursa of the right greater trochanter. Systemic scanning with this modality allowed evaluation of the extent of lesions and simple quantitative determination of the severity of inflammation, yielding information useful for the follow-up of the patient during the course of tuberculosis treatment.

Acute Renal and Hepatic Failure and Abnormal Blood Cell Count in Acute Leukemia: A Report of Four Cases and Review of the Literature

“…Alternatively, tumor necrosis factor may increase the permeability of the microvasculature, thus allowing an increased transcapillary passage of albumin. Various authors have reported that acute leukemia associated with abnormal liver function [11,12].…”

T-Cell Non-Hodgkin’s Lymphomas

“…As ATLL is a generalized neoplastic disease, the liver is often involved (Hoshi et al 1988;Taniguchi et al 1993;Yamada et al 1997;Tong et al 2004;Kawamura et al 2006;Powell et al 2006;Takasaki et al 2007). In ATLL, hepatic involvement is more frequent than in other lymphomas.…”

“…Hepatic infiltration is usually diffuse or multifocal, but a metastatic pattern also occurs (Tong et al 2004). ATLL with blast crisis can be associated with acute liver failure (Kawamura et al 2006;Powell et al 2006). In this severe clinical situation, liver biopsy revealed massive infiltration with atypical T cells characteristic of ATLL and hepatic necrosis (Powell et al 2006).…”