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Generalized Muscular Hypermetabolism Caused by Mitochondrial Myopathy Shown on 18F-FDG PET/CT.

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ABSTRACT An 18-year-old man presented with progressive exercise intolerance and muscle weakness for 1 year with recent acute exacerbation. Laboratory test demonstrated lactic acidosis. 18F-FDG PET/CT was performed to exclude… Click to show full abstract

ABSTRACT An 18-year-old man presented with progressive exercise intolerance and muscle weakness for 1 year with recent acute exacerbation. Laboratory test demonstrated lactic acidosis. 18F-FDG PET/CT was performed to exclude malignancy and showed generalized muscular hypermetabolism. Muscle biopsy combined with patient's history suggested mitochondrial myopathy. This report illustrates that mitochondrial myopathy may present as generalized muscular hypermetabolism on 18F-FDG PET/CT and thus should be added to the differential diagnoses.

Keywords: muscular hypermetabolism; generalized muscular; fdg pet; mitochondrial myopathy; 18f fdg

Journal Title: Clinical nuclear medicine
Year Published: 2023

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