scholarly journals An Unusual Presentation of Giant Cell Arteritis

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Siddhesh Prabhavalkar ◽  
Pawel Bogusz ◽  
Reena Merard ◽  
Mark Gormley
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Unknown Origin ◽  
Unusual Presentation ◽  
Granulomatous Hepatitis ◽  
Nonproductive Cough ◽  
Pyrexia Of Unknown Origin ◽  
Rare Association ◽  
Pet Scanning ◽  
Atypical Presentations

Giant cell arteritis (GCA) is a chronic vasculitis that typically presents with headache, fever and polymyalgia although atypical presentations are known. We present a case of GCA with nonproductive cough and pyrexia of unknown origin emphasizing this atypical nature of presentation. We report a rare association of GCA with granulomatous hepatitis. We also support the use of PET scanning in diagnosing and monitoring this condition.

Giant Cell Arteritis — A Cause of Pyrexia of Unknown Origin

1994 ◽  
Vol 39 (4) ◽  
pp. 114-115
Author(s):  
A. Fife ◽  
L. Dorrell ◽  
M.H. Snow ◽  
E.L.C. Ong
Keyword(s):  
Weight Loss ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Unknown Origin ◽  
Temporal Artery ◽  
Temporal Artery Biopsy ◽  
Pyrexia Of Unknown Origin ◽  
Diagnostic Difficulties

Giant cell arteritis may present atypically with symptoms of malaise, anorexia, weight loss and fever that could lead to diagnostic difficulties. We describe two cases which the prominent initial feature was protracted pyrexia. Clinicians should seriously consider temporal artery biopsy in such cases.

A Case of Atypical Giant Cell Arteritis Presenting as a Fever of Unknown Origin

2012 ◽  
Vol 19 (5) ◽  
pp. 299 ◽  
Author(s):  
Mi Il Kang ◽  
Hee Jin Park ◽  
Hyae Min Jeon ◽  
Yoon Kang ◽  
Sang Won Lee ◽  
...  
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Fever Of Unknown Origin ◽  
Unknown Origin

scholarly journals Challenges in the Diagnosis of Giant Cell Arteritis Before Visual Loss

2020 ◽  
pp. 1-5
Author(s):  
Purnima Mehta ◽  
Faaiq Hassan ◽  
Muhammed Omar Qadir ◽  
Shirish Dubey ◽  
Sergio Pagliarini ◽  
...  
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Visual Loss ◽  
Systemic Vasculitis ◽  
The Elderly ◽  
Common Type ◽  
Atypical Presentation ◽  
Delay In Diagnosis ◽  
Atypical Presentations ◽  
High Index Of Suspicion

Background: Giant cell arteritis (GCA) is the most common type of systemic vasculitis affecting the elderly. Ophthalmic presentations of GCA in particular can be difficult to identify prior to permanent visual loss occurring. Methods: Here, we present 3 challenging cases as a retrospective series to highlight the variable presentations of GCA with ophthalmic involvement, but GCA was not suspected due to atypical presentation. Results: Unfortunately, all 3 cases went on to develop visual loss in the affected eye due to a delay in diagnosis or treatment. The authors wish to highlight the challenges posed to the referring clinicians, when patients had systemic/ocular co-morbidities, which delayed the suspicion of GCA Conclusion with a Practical Point: Our cases highlight the variable presentations of this condition as well as the devastating ophthalmic implications that GCA can have. A high index of suspicion must be maintained; particularly in elderly patients with atypical presentations.

scholarly journals The impact of Temporal Artery Biopsy for the diagnosis of Giant Cell Arteritis in clinical practice in a tertiary University Hospital

2019 ◽  
Author(s):  
E Kaltsonoudis ◽  
E Pelechas ◽  
A Papoudou-Bai ◽  
E.T. Markatseli ◽  
M Elisaf ◽  
...  
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Laboratory Data ◽  
Unknown Origin ◽  
Temporal Artery ◽  
University Hospital ◽  
Temporal Artery Biopsy ◽  
Acute Phase Reactants ◽  
Anemia Of Chronic Disease ◽  
The Impact

ABSTRACTBackgroundTemporal artery biopsy (TAB) is useful in assisting with giant cell arteritis (GCA) diagnosis but lacks sensitivity. The aim of our study was to assess the diagnostic impact of TAB histology in patients with suspected GCA on hospital admission.MethodsA prospectively maintained database was queried for all TABs performed between 1-1-2000 until 31-12-2017 at the University Hospital of Ioannina. Thus, inclusion criteria were made on the grounds of every patient that underwent a TAB during the above-mentioned period, regardless of demographic, clinical and laboratory data.ResultsTwo hundred forty-five TABs were included (149 females and 96 males), with a mean age of 64.5 (±3.5) years. The mean symptoms duration until admission to the hospital was 8.6 (±1.3) weeks and all had elevated acute phase reactants on admission. The reasons of admission were fever of unknown origin (FUO) in 114 (46.5%) patients, symptoms of polymyalgia rheumatica (PMR) in 84 (34.3%), new headache in 33 (13.5%), anemia of chronic disease (ACD) in 8 (3.32%) and eye disturbances in 6 (2.5%) patients. Positive results were found in 49 (20%) TABs. More specifically, in 14% of patients with FUO, 21% in those with PMR, while in patients with a new headache the percentage was 27%. Finally, 5 out of 6 (83.3%) of patients with ocular symptoms and only one (12.5%) of those suffering from ACD. Visual manifestations and FUO are correlated with a positive TAB.ConclusionIt seems that TAB is useful in assisting with GCA diagnosis, but lacks sensitivity.

Giant cell arteritis mimicking fever of unknown origin: potential diagnostic role of PET scan

2006 ◽  
Vol 95 (02) ◽  
pp. 390-392 ◽  
Author(s):  
Olivier Chavaillaz ◽  
Salah Gueddi ◽  
Sophia Taylor ◽  
Hans Stalder ◽  
Marc Righini
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Fever Of Unknown Origin ◽  
Unknown Origin ◽  
Pet Scan ◽  
Diagnostic Role

scholarly journals Delayed Diagnosis of Biopsy-Negative Giant Cell Arteritis Presenting as Fever of Unknown Origin

2009 ◽  
Vol 24 (4) ◽  
pp. 532-536 ◽  
Author(s):  
Valentin S. Schäfer ◽  
Kenneth J. Warrington ◽  
Eric E. Williamson ◽  
Tanaz A. Kermani
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Fever Of Unknown Origin ◽  
Delayed Diagnosis ◽  
Unknown Origin

An unusual presentation of giant cell arteritis

2008 ◽  
Vol 69 (11) ◽  
pp. 650-650
Author(s):  
Samantha Currie ◽  
Seamus J Linnane
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Unusual Presentation
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