PEDIATRICS Vol. 64 No. 5 November 1979, pp. 635-639
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Technetium Colloid Bone Marrow Imaging in Fanconi's Anemia

Jen-Yih Chu MD, PhD1, Judith E. Ho MD1, Patricia L. Monteleone MD1, and Dennis M. O'Connor MD1

1 Department of Pediatrics, Cardinal Glennon Memorial Hospital for Children, and Section of Nuclear Medicine, Department of Medicine, St Louis University Hospitals, St Louis University School of Medicine, St Louis

Four patients with Fanconi's anemia were evaluated with 99mTc-sulfur colloid bone marrow scans. The scans revealed similar paradoxical and irregular tracer distribution in all four patients. Normal to increased activity was demonstrated in the proximal metaphyses of the humeri with varying degrees of increased activity in more primitive marrow sites in the distal diaphyses of the humeri and tibia, the distal metaphyses of the humeri and femora, and the proximal metaphyses of the ulnae, radii, and tibia. Skip areas of normal distribution were seen in the proximal diaphyses of the humeri and femora. Although the scan reflects only the reticuloendothelial portion of bone marrow, it may be of some value in the differential diagnosis of pancytopenia.

Submitted on October 24, 1978
Accepted on March 2, 1979


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