Adult Tiger Man: A Case of Dermatomyositis Associated With Thymoma.


Journal

Clinical nuclear medicine
ISSN: 1536-0229
Titre abrégé: Clin Nucl Med
Pays: United States
ID NLM: 7611109

Informations de publication

Date de publication:
01 Jun 2022
Historique:
pubmed: 31 3 2022
medline: 7 5 2022
entrez: 30 3 2022
Statut: ppublish

Résumé

The scan demonstrated multiple linear and patchy hypermetabolic lesions in skeletal muscles, mimicking the coat of a tiger, and was referred to as "a tiger man" sign. A 38-year-old man was admitted to our hospital with weakness, shortness of breath, and muscle pain. A CT scan showed a mass in the anterior mediastinum. 18F-FDG PET/CT was performed to evaluate the mass with a preliminary diagnosis of thymoma; heterogeneous 18F-FDG uptake in the mediastinal mass and tiger man findings in skeletal muscles were observed in PET/CT images.

Identifiants

pubmed: 35353758
doi: 10.1097/RLU.0000000000004154
pii: 00003072-202206000-00029
doi:

Substances chimiques

Fluorodeoxyglucose F18 0Z5B2CJX4D

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e448-e449

Informations de copyright

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest and sources of funding: none declared.

Références

Wieërs G, Lhommel R, Lecouvet F, et al. A tiger man. Lancet . 2012;380:1859.
Evoli A, Lancaster E. Paraneoplastic disorders in thymoma patients. J Thorac Oncol . 2014;9:S143–S147.
Ago T, Nakamura M, Iwata I, et al. Dermatomyositis associated with invasive thymoma. Intern Med . 1999;38:155–159.
Kelly RJ, Browne SK, Rajan A, et al. Thymoma-associated paraneoplastic polymyositis. J Clin Oncol . 2010;28:e378.
Rini BI, Gajewski TF. Polymyositis with respiratory muscle weakness requiring mechanical ventilation in a patient with metastatic thymoma treated with octreotide. Ann Oncol . 1999;10:973–979.
Inoue Y, True LD, Martins RG. Thymic carcinoma associated with paraneoplastic polymyositis. J Clin Oncol . 2009;27:e33–e34.
Fonseca JF, Costa F, Veríssimo MT, et al. Old tiger man: a case of sarcoid myopathy. Case Rep Dermatol . 2017;2017:bcr-2017-220177.
Pruthi A, Kirtani P, Joshi P, et al. Tiger man sign—F-18 FDG PET CT scan pattern in muscular and cutaneous sarcoidosis: a case report and literature survey. Indian J Nucl Med . 2020;35:232–234.

Auteurs

Ayşegül Aksu (A)

From the Department of Nuclear Medicine, Health Sciences University, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey.

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Classifications MeSH