Increased Mucocutaneous FDG Activity in Paraneoplastic Pemphigus Associated With Follicular Dendritic Cell Sarcoma Transformed From Castleman Disease.
Yu Long, Yang Wang, Aisheng Dong
✦ AI-curated · Sources linked
Case in brief
A patient with paraneoplastic pemphigus presented with severe mucocutaneous blistering associated with pelvic follicular dendritic cell sarcoma, which had transformed from Castleman disease. FDG PET/CT imaging revealed intense activity in the oral cavity, heterogeneous skin activity, linear esophageal activity, focal anal activity, and varied pelvic tumor activity. The condition was managed with appropriate oncological treatment.
Diagnostic / clinical pearl
Clinicians should consider paraneoplastic pemphigus in patients presenting with hypermetabolic mucocutaneous lesions, particularly in the context of underlying malignancies.