Takayasu and Temporal Arteritis

Endometrial cancer, vasculitis of the genital tract and occult temporal arteritis

Histopathology ◽

10.1046/j.1365-2559.2001.01072-2.x ◽

2001 ◽

Vol 38 (2) ◽

pp. 178-179 ◽

Cited By ~ 7

Author(s):

A Orbo ◽

A Steffensen

Keyword(s):

Endometrial Cancer ◽

Genital Tract ◽

Temporal Arteritis

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Two Cases of Temporal Arteritis Involving the Occipital Artery.

Nishi Nihon Hifuka ◽

10.2336/nishinihonhifu.64.533 ◽

2002 ◽

Vol 64 (5) ◽

pp. 533-536

Author(s):

Toru MORI ◽

Yoshihiro MIURA ◽

Junji NAKAFUSA ◽

Noriyuki MISAGO ◽

Yutaka NARISAWA ◽

...

Keyword(s):

Temporal Arteritis ◽

Occipital Artery

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Polymyalgia Rheumatica - a Disease of the Elderly

Revista de Chimie ◽

10.37358/rc.18.1.6063 ◽

2018 ◽

Vol 69 (1) ◽

pp. 152-154

Author(s):

Vasilica Cristescu ◽

Aurelia Romila ◽

Luana Andreea Macovei

Keyword(s):

Giant Cell Arteritis ◽

Giant Cell ◽

Polymyalgia Rheumatica ◽

Temporal Arteritis ◽

Viral Infections ◽

Clinical Manifestations ◽

The Elderly ◽

Clinical Aspects ◽

Immune Disorder ◽

Markers Of Inflammation

Polymyalgia rheumatica is a disease that occurs mostly in the elderly and is rarely seen in patients less than 50 years of age. Polymyalgia rheumatica is a vasculitis, which manifests itself as an inflammatory disease of the vascular wall that can affect any type of blood vessel, regardless of its size. It has been considered a form of giant cell arteritis, involving primarily large and medium arteries and to a lesser extent the arterioles. Clinical manifestations are caused by the generic pathogenic process and depend on the characteristics of the damaged organ. PMR is a senescence-related immune disorder. It has been defined as a stand-alone condition and a syndrome referred to as rheumatic polyarteritis with manifestations of giant cell arteritis (especially in cases of Horton�s disease and temporal arteritis) which are commonly associated with polymyalgia. The clinical presentation is clearly dominated by the painful girdle syndrome, with a feeling of general discomfort. Polymyalgia and temporal arteritis may coexist or be consecutive to each other in the same patient, as in most of our patients. The present study describes 3 cases of polymyalgia rheumatica, admitted to the Clinic of Rheumatology of Sf. Apostol Andrei Hospital, Galati. The cases were compared with the literature. Two clinical aspects (polymyalgia rheumatica and/or Horton�s disease) and the relationship between them were also considered. Polymyalgia rheumatica is currently thought to have a multifactorial etiology, in which the following factors play a role: genetic factors or hereditary predisposition (some individuals are more prone to this disease), immune factors and viral infections (triggers of the disease). Other risk factors of polymyalgia rheumatica include age over 50 years and the association with giant cell arteritis. The characteristic feature of the disease is girdle pain, with intense stiffness of at least one hour�s duration. Markers of inflammation, erythrocyte sedimentation rate and C-reactive protein are almost always increased at the onset of the disease. Diseases that can mimic the clinical picture of polymyalgia rheumatica are neoplasia, infections, metabolic disorders of the bone and endocrine diseases.

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Repair of acute type a aortic dissection associated with temporal arteritis

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(03)00695-7 ◽

2003 ◽

Vol 76 (5) ◽

pp. 1717-1718 ◽

Cited By ~ 8

Author(s):

Mark F Berry ◽

Y.Joseph Woo

Keyword(s):

Aortic Dissection ◽

Temporal Arteritis ◽

Type A ◽

Acute Type ◽

Type A Aortic Dissection

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TOTAL BLINDNESS FROM TEMPORAL ARTERITIS

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1960.tb68573.x ◽

1960 ◽

Vol 2 (11) ◽

pp. 436-436

Keyword(s):

Temporal Arteritis ◽

Total Blindness

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P040 An unusual case of giant cell arteritis

Rheumatology ◽

10.1093/rheumatology/keab247.037 ◽

2021 ◽

Vol 60 (Supplement_1) ◽

Author(s):

Jessica Ellis ◽

Keziah Austin ◽

Sarah Emerson

Keyword(s):

Inflammatory Markers ◽

Illicit Drugs ◽

Unusual Case ◽

Temporal Arteritis ◽

White Cell Count ◽

Healthcare Providers ◽

Temporal Artery ◽

Low Grade ◽

Temporal Artery Biopsy ◽

The Right

Abstract Background/Aims A 49-year-old female of Nepalese heritage was referred with right-sided headache, scalp tenderness, and a painful swelling overlying the right temple. She denied any visual or claudicant symptoms but felt systemically unwell with a fever. There were no symptoms suggestive of an inflammatory arthritis, underlying connective tissue disease or vasculitis. She was normally fit and well with no past medical history. She did not take any regular medications and denied using over the counter or illicit drugs or recent travel. On review she had a low grade fever. There was a large tender, erythematous swelling overlying the right temple. Bilaterally the temporal arteries were palpable and pulsatile. Peripheral pulses were normal with no bruits. There was no evidence of shingles (HSV) or local infection. Full systemic examination revealed no other abnormalities. Laboratory tests showed: PV 2.56, CRP 101, total white cell count 14.38 (eosinophils 0.4), albumin 33, Hb 115. Urine dip was normal. Renal function, liver function and immunoglobulins were normal. ANCA was negative. Hypoechogenicity surrounding the right frontal branch of the right temporal artery was seen on ultrasound. There were no discrete masses suggestive of cysts, abscess or tumours. Temporal artery biopsy confirmed the presence of vasculitis; histology demonstrated transmural lymphohistiocytic inflammation, disruption of the elastic lamina and intimal proliferation. Prednisolone was started at 40mg daily. Four weeks after initially presenting she was asymptomatic and her inflammatory markers had normalised. Methods The case is discussed below. Results Temporal arteritis, or GCA, is primarily a disease of older adults; with age 50 often used as an inclusion criteria, and is more common in Caucasian populations. Limited reports exist of GCA in younger cohorts, but these are rare. An important differential in younger patients, such as ours, is juvenile temporal arteritis. This rare localised vasculitis affects almost exclusively the temporal artery. It is typically a disease of young males, who present with non-tender temporal swelling. Systemic symptoms are unusual and inflammatory markers are normal. Clinical or laboratory evidence of organ involvement, peripheral eosinophilia or fibrinoid necrosis on histology should prompt consideration of an AAV or PAN. Incidence of GCA increases in correlation with Northern latitude, with highest rates reported in Scandinavian and North American populations. GCA is rare in Asian populations. Higher diagnostic rates in countries where physicians have increased awareness of GCA proposed as an explanation for this difference; however differences in incidence are still observed between Asian and Caucasian populations presenting to the same healthcare providers. Conclusion GCA is an uncommon diagnosis in younger and non-Caucasian patients. Thorough investigation through ultrasound and biopsy helped increase our diagnostic confidence in this unusual case. Rheumatologists must be alert to atypical presentations in order to deliver prompt and potentially sight-saving treatment. Disclosure J. Ellis: None. K. Austin: None. S. Emerson: None.

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