[18F]-FDG uptake in soft tissue dermatome prior to herpes zoster eruption: an unusual pitfall

Ann Nucl Med. 2001 Oct;15(5):455-8. doi: 10.1007/BF02988353.

Abstract

Authors report on a case of [18F]-fluorodeoxyglucose ([18F]-FDG) uptake in the soft tissue of a patient referred for [18F]-FDG coincidence detection emission tomography (CDET) in a search for recurrence of colorectal cancer. A herpes zoster eruption occurred in the same site within two days, but was spontaneously resolved. To the best of our knowledge this is the first description of a false positive [18F]-FDG result in relation to a viral infection of soft tissue. It shows that interpretation of subcutaneous foci has to be cautious in patients with or without a past history of herpes zoster even in pain-free areas and prior to skin eruption.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / diagnostic imaging*
  • Adenocarcinoma / secondary
  • Adult
  • Carcinoembryonic Antigen / metabolism*
  • Colonic Neoplasms / complications
  • Colonic Neoplasms / diagnostic imaging*
  • Colonic Neoplasms / surgery
  • Diagnosis, Differential
  • False Positive Reactions
  • Fluorodeoxyglucose F18 / pharmacokinetics*
  • Herpes Zoster / complications
  • Herpes Zoster / metabolism*
  • Humans
  • Lumbosacral Region
  • Lymphatic Metastasis
  • Male
  • Middle Aged
  • Radiopharmaceuticals / pharmacokinetics
  • Tomography, Emission-Computed

Substances

  • Carcinoembryonic Antigen
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18