Tc-99m MDP Bone Scintigraphy in Relapsing Polychondritis

A 62-year-old man was wheezing and had chest pain for 2 months. He had a history of bilateral ear swelling, for 3 years. Physical examination showed edematous and red auricles and a saddle nose deformity. Computerized tomography showed tracheal calcifications and tracheobronchial narrowing was observed on bronchoscopy. Tc-99m MDP bone scan performed for chest pain showed diffusely increased uptake in the costochondral junctions. The biopsy showed relapsing polychondritis. He underwent prednisolone therapy for 2 months and his symptoms and scintigraphic findings were improved. This report indicates that MDP bone scintigraphy may be a valuable method in follow-up of relapsing polychondritis.