Cardiac uptake of Ga-67 in myocarditis has been described in associati
on with a number of disease entities. However, there are no reports in
the current literature describing Ga-67 uptake in myocarditis due to
systemic lupus erythematosus, a disease that often involves the heart.
The authors present the case of a patient with a long history of syst
emic lupus erythematosus in whom new ECG changes and left ventricular
wall motion abnormality developed, and who demonstrated significant gl
obal myocardial uptake on Ga-67 scintigraphy. Other etiologies includi
ng myocardial infarction, epicardial coronary disease, pericarditis, e
ndocarditis, dilated cardiomyopathy, and viral infection were excluded
during extensive work-up.