PMID- 28401744 OWN - NLM STAT- MEDLINE DCOM- 20171003 LR - 20171003 IS - 1442-200X (Electronic) IS - 1328-8067 (Linking) VI - 59 IP - 4 DP - 2017 Apr TI - FDG-PET in macrophage activation syndrome associated with systemic juvenile idiopathic arthritis. PG - 509-511 LID - 10.1111/ped.13238 [doi] AB - We herein describe a case of systemic juvenile idiopathic arthritis (s-JIA)-associated macrophage activation syndrome (MAS) in which the (18F) fluorodeoxyglucose positron emission tomography ((18)(F) FDG-PET) findings were characteristic. The pattern of greater (18)(F) FDG accumulation into the spleen compared with the liver was more remarkable in this patient compared with s-JIA. This pattern, however, was also observed in cases of acute leukemia. In the present patient, serum interleukin (IL)-18 was extremely elevated (255 000 pg/mL), whereas in leukemia patients it is mildly elevated (360-1480 pg/mL). (18)(F) FDG-PET might be a useful indicator of s-JIA and MAS in patients with fever of unknown origin. The pattern of (18)(F) FDG accumulation, however, can also be observed in acute leukemia. The combination of (18)(F) FDG-PET and serum IL-18 might be useful for the diagnosis of s-JIA and MAS. CI - (c) 2017 Japan Pediatric Society. FAU - Shimizu, Masaki AU - Shimizu M AD - Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa, Japan. FAU - Ikawa, Yasuhiro AU - Ikawa Y AD - Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa, Japan. FAU - Mizuta, Mao AU - Mizuta M AD - Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa, Japan. FAU - Takakura, Maiko AU - Takakura M AD - Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa, Japan. FAU - Inoue, Natsumi AU - Inoue N AD - Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa, Japan. FAU - Nishimura, Ryosei AU - Nishimura R AD - Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa, Japan. FAU - Yachie, Akihiro AU - Yachie A AD - Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa, Japan. LA - eng PT - Case Reports PT - Journal Article PL - Australia TA - Pediatr Int JT - Pediatrics international : official journal of the Japan Pediatric Society JID - 100886002 RN - 0 (Radiopharmaceuticals) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) SB - IM MH - Arthritis, Juvenile/complications/*diagnostic imaging MH - Child, Preschool MH - Female MH - *Fluorodeoxyglucose F18 MH - Humans MH - Macrophage Activation Syndrome/*diagnostic imaging/etiology MH - Positron-Emission Tomography/*methods MH - *Radiopharmaceuticals OTO - NOTNLM OT - fluorodeoxyglucose positron emission tomography OT - interleukin-18 OT - macrophage activation syndrome OT - systemic juvenile idiopathic arthritis EDAT- 2017/04/13 06:00 MHDA- 2017/10/04 06:00 CRDT- 2017/04/13 06:00 PHST- 2016/11/02 00:00 [received] PHST- 2016/12/13 00:00 [revised] PHST- 2017/01/11 00:00 [accepted] PHST- 2017/04/13 06:00 [entrez] PHST- 2017/04/13 06:00 [pubmed] PHST- 2017/10/04 06:00 [medline] AID - 10.1111/ped.13238 [doi] PST - ppublish SO - Pediatr Int. 2017 Apr;59(4):509-511. doi: 10.1111/ped.13238.