Typical trident sign and cardiac involvement in a patient suspected to Sarcoidosis despite negative whole-body FDG-PET : a case report

© 2023. The Author(s)..

BACKGROUND: Sarcoidosis is a systemic inflammatory disease histologically defined by the non-caseation granulomas formation in different organs, most commonly lungs, liver, skin, gastrointestinal system, eyes, neurologic and cardiac system CASE PRESENTATION: We report the case of a 42-year-old Gilaks woman who presented with myelopathy with characteristic MRI finding called trident sign. By finding this view in axial spinal Magnetic Resonance Imaging (MRI) imaging, a systemic evaluation was performed on the patient, which led to the diagnosis of cardiac involvement in Sarcoidosis with the specific appearance of this disease in cardiac MRI despite the negative Fluorodeoxyglucose (FDG)-positron emission tomography (PET) scan.

CONCLUSIONS: Sometimes characteristic findings such as the trident sign prompt the physician to high suspicion and wide evaluation of the patient to reveal important organ involvement that changes the treatment decision and saves the patient.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Journal of medical case reports - 17(2023), 1 vom: 30. Nov., Seite 496

Sprache:

Englisch

Beteiligte Personen:

Shahmohammdi, Abootorab [VerfasserIn]
Heidari, Hora [VerfasserIn]
Kohandel, Kosar [VerfasserIn]
Dousti, Soheil [VerfasserIn]
Doosti, Rozita [VerfasserIn]
Azimi, Amir Reza [VerfasserIn]
Shajari, Zahra [VerfasserIn]
Rabiei, Parham [VerfasserIn]
Shahmohammdi, Sareh [VerfasserIn]

Links:

Volltext

Themen:

0Z5B2CJX4D
Cardiac sarcoidosis
Case Reports
Case report
Endomyocardial biopsy
FDG-PET scan
Fluorodeoxyglucose F18
Journal Article
Neuro-sarcoidosis
Radiopharmaceuticals
Trident sign

Anmerkungen:

Date Completed 01.12.2023

Date Revised 01.12.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13256-023-04224-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365223336