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Increased FDG Uptake Along Dermatome on PET in a Patient With Herpes Zoster

Egan, Charles DO,; Silverman, Eugene MD

doi: 10.1097/RLU.0b013e31829b2640
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This is a 66-year-old female patient being treated for diffuse large B-cell lymphoma. She reported to her physician in late January 2012 with a left flank pruritic painful rash. She was diagnosed with herpes zoster and treated with antiviral medication. Her chemotherapy regimen was delayed due to the zoster infection. In March 2012, the patient underwent a PET/CT as a lymphoma surveillance scan prior to reinstituting the chemotherapy treatment. As an incidental finding, the PET showed increased metabolic activity in a dermatomal distribution along the left flank, which corresponded to the patient’s zoster infection.

From the Naval Medical Center San Diego, San Diego, CA.

Received for publication January 11, 2013; and revision accepted May 4, 2013.

Conflicts of interest and sources of funding: none declared.

Institution where work was performed: Naval Medical Center, San Diego, CA.

Reprints: Charles Egan, DO, Radiology Department, Naval Medical Center San Diego, 34800 Bob Wilson Drive, Suite 204, San Diego, CA 92134-1204. E-mail: charles.egan@med.navy.mil.

© 2013 by Lippincott Williams & Wilkins