Literature DB >> 32217659

Boundaries of a systemic disease: a protean presentation of giant cell arteritis.

António Mesquita1,2, Lara Camara3, Catarina Patrício3, Vítor Brotas3.   

Abstract

A 60-year-old man was hospitalised with persistent fever, arm pain, dry cough and cholestasis. Diagnostic workup was remarkable for elevated inflammatory markers. Infectious diseases and autoimmune screening were negative. Imaging modalities excluded a neoplastic aetiology. Liver biopsy was negative for granulomatous or lymphomatous infiltrations. Giant cell arteritis (GCA) was suspected, but temporal artery Doppler ultrasound and biopsy were non-diagnostic. A positron emission tomography scan showed intense metabolic uptake in large vessels suggesting the diagnosis of GCA. Prednisolone was initiated with clinical and analytical improvement. At 1-year follow-up, there were no relapses and the patient remains symptom free. © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.

Entities:  

Keywords:  connective tissue disease; vasculitis

Mesh：

Substances：

Year:  2020        PMID： 32217659      PMCID： PMC7167429          DOI： 10.1136/bcr-2019-232234

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN： 1757-790X


  30 in total

1.  Clinical problem-solving. It's not all in your head.

Authors:  Kathryn Towns; Paul E Szmitko; Chris Smith; Allan S Detsky; Ophyr Mourad
Journal:  N Engl J Med       Date:  2011-10-06       Impact factor: 91.245

Review 2.  Does this patient have temporal arteritis?

Authors:  Gerald W Smetana; Robert H Shmerling
Journal:  JAMA       Date:  2002-01-02       Impact factor: 56.272

3.  Importance of specimen length during temporal artery biopsy.

Authors:  E Ypsilantis; E D Courtney; N Chopra; A Karthikesalingam; M Eltayab; N Katsoulas; T Y Tang; R Y Ball
Journal:  Br J Surg       Date:  2011-06-27       Impact factor: 6.939

4.  Systemic vasculitis in adults in northwestern Spain, 1988-1997. Clinical and epidemiologic aspects.

Authors:  M A González-Gay; C García-Porrúa
Journal:  Medicine (Baltimore)       Date:  1999-09       Impact factor: 1.889

Review 5.  Ultrasound in the diagnosis and management of giant cell arteritis.

Authors:  Wolfgang A Schmidt
Journal:  Rheumatology (Oxford)       Date:  2018-02-01       Impact factor: 7.580

6.  Hepatic artery involvement in polymyalgia arteritica.

Authors:  A L Ogilvie; P D James; P J Toghill
Journal:  J Clin Pathol       Date:  1981-07       Impact factor: 3.411

7.  Prospective long term follow-up of a cohort of patients with giant cell arteritis screened for aortic structural damage (aneurysm or dilatation).

Authors:  Ana García-Martínez; Pedro Arguis; Sergio Prieto-González; Georgina Espígol-Frigolé; Marco A Alba; Montserrat Butjosa; Itziar Tavera-Bahillo; José Hernández-Rodríguez; Maria C Cid
Journal:  Ann Rheum Dis       Date:  2013-07-19       Impact factor: 19.103

8.  Trial of Tocilizumab in Giant-Cell Arteritis.

Authors:  John H Stone; Katie Tuckwell; Sophie Dimonaco; Micki Klearman; Martin Aringer; Daniel Blockmans; Elisabeth Brouwer; Maria C Cid; Bhaskar Dasgupta; Juergen Rech; Carlo Salvarani; Georg Schett; Hendrik Schulze-Koops; Robert Spiera; Sebastian H Unizony; Neil Collinson
Journal:  N Engl J Med       Date:  2017-07-27       Impact factor: 91.245

9.  Aortic ¹⁸F-FDG uptake in patients suffering from granulomatosis with polyangiitis.

Authors:  Michael J Kemna; Jan Bucerius; Marjolein Drent; Stefan Vöö; Martine Veenman; Pieter van Paassen; Jan Willem Cohen Tervaert; Marinus J P G van Kroonenburgh
Journal:  Eur J Nucl Med Mol Imaging       Date:  2015-05-21       Impact factor: 9.236

Review 10.  FDG-PET/CT(A) imaging in large vessel vasculitis and polymyalgia rheumatica: joint procedural recommendation of the EANM, SNMMI, and the PET Interest Group (PIG), and endorsed by the ASNC.

Authors:  Riemer H J A Slart
Journal:  Eur J Nucl Med Mol Imaging       Date:  2018-04-11       Impact factor: 9.236
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