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Publication
Boundaries of a Systemic Disease: a Protean Presentation of Giant Cell Arteritis
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Advisor(s)
Abstract(s)
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.
Description
Keywords
HSAC MED Male Humans Middle Aged Anti-Inflammatory Agents, Non-Steroidal Aspirin / therapeutic use* Cholestasis Cough Diagnosis, Differential Drug Therapy, Combination Fever of Unknown Origin Giant Cell Arteritis / diagnostic imaging* Giant Cell Arteritis / drug therapy* Glucocorticoids / therapeutic use Positron-Emission Tomography Prednisolone / therapeutic use*
Citation
BMJ Case Rep. 2020 Mar 25;13(3):e232234.