Autoinflammatory & rare systemic diseases

Prognostic value of hypermetabolic bone sarcoidosis observed by 18F-fluorodeoxyglucose positron emission tomography

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

These results suggest that metabolic bone involvement is associated with more diffuse and more severe sarcoidosis.

Study context

Population
Patients with sarcoidosis (WASOG criteria) with at least one 18F-FDG PET/CT scan during follow-up, single centre
Participants
175 patients
Exposure
Sarcoidosis with vs without metabolic bone involvement on 18F-FDG PET/CT
  • Bone involvementn = 32
Outcome
Prevalence of metabolic bone involvement and its prognostic impact
Methodological detailsobservational, comparative, monocentric
  • Observational
  • Comparative
  • Monocentric

Main finding

As reported in the abstract

Metabolic bone involvement of sarcoidosis

Bone involvement

18%

32

Observational data: associations, not effects.

Further findings

Disease extent

Bone involvement associated with intrathoracic and extrathoracic lymph node involvement and a greater number of organs involved

Treatment

Bone involvement: more frequently received GC, MTX and TNF-α inhibitors and a greater number of treatments

Relapse

Relapse occurred sooner with bone involvement

Original publication

Prognostic value of hypermetabolic bone sarcoidosis observed by 18F-fluorodeoxyglucose positron emission tomography. Rheumatology (Oxford). Published 19 January 2024. doi:10.1093/rheumatology/keae019

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