Abstract

A 37-year-old female on prednisone therapy for inflammatory bowel disease had chronic focal knee pain bilaterally for several months. Plain film imaging results were normal. However, Tc-99m MDP bone scintigraphy obtained the same day revealed diffuse increased uptake of radionuclide within the distal femoral metaphases and knees bilaterally. Additional diffuse increased activity was seen in the left tibial plateau, with a second small focal area of activity within the proximal tibial diaphysis

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