论文信息 - An Unusual Presentation of Giant Cell Arteritis

An Unusual Presentation of Giant Cell Arteritis

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.

P. Bogusz | M. Gormley | R. Merard | S. Prabhavalkar

[1] John O. Prior,et al. Diagnostic performance of 18F-fluorodeoxyglucose positron emission tomography in giant cell arteritis: a systematic review and meta-analysis , 2011, European Journal of Nuclear Medicine and Molecular Imaging.

[2] M. González-Gay,et al. Giant cell arteritis: disease patterns of clinical presentation in a series of 240 patients. , 2006, Medicine.

[3] B. Hazleman. Laboratory investigations useful in the evaluation of polymyalgia rheumatica (PMR) and giant cell arteritis (GCA). , 2000, Clinical and experimental rheumatology.

[4] C. Olopade,et al. Giant cell arteritis manifesting as chronic cough and fever of unknown origin. , 1997, Mayo Clinic proceedings.

[5] J. Sloan,et al. Hepatic granulomas in Northern Ireland: a thirteen year review , 1994, Histopathology.

[6] G. Hunder,et al. Giant cell arteritis (temporal arteritis) presenting as fever of undetermined origin. , 1981, Arthritis and rheumatism.

[7] R. Klein,et al. Large artery involvement in giant cell (temporal) arteritis. , 1975, Annals of internal medicine.