Normal inflammatory markers in giant cell arteritis with long-standing cranial and symptomatic large-vessel involvement

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We report the case of a 78-year-old woman who presented with cardiovascular risk factors and a history of an atypical transient ischaemic attack. She was referred by her primary care physician to the vascular surgery department at our institution for evaluation of progressive weakness, fatigue, arm claudication and difficulty assessing the blood pressure in her right arm. She was being considered for surgical revascularisation, but a careful history and review of her imaging studies raised suspicion for vasculitis, despite her normal inflammatory markers. She was eventually diagnosed with biopsy-proven giant cell arteritis with diffuse large-vessel involvement. Her symptoms improved with high-dose glucocorticoids.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

BMJ case reports - 14(2021), 6 vom: 29. Juni

Sprache:

Englisch

Beteiligte Personen:

Rodriguez-Pla, Alicia [VerfasserIn]
Naidu, Sailendra G [VerfasserIn]
Butt, Yasmeen M [VerfasserIn]
Davila, Victor J [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Connective tissue disease
Glucocorticoids
Journal Article
Musculoskeletal syndromes
Vasculitis

Anmerkungen:

Date Completed 01.07.2021

Date Revised 01.07.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bcr-2021-242602

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM327346906