Giant cell arteritis: A case report and review of literature
| Autor: | Dhairya A. Lakhani, Cathy Kim, Matthew A. Crain, Lana Winkler, Ayodele Adelanwa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Vasculitis
medicine.medical_specialty GCA Giant Cell Arteritis R895-920 Case Report Inflammatory vasculitis Granulomatous inflammation Aortic aneurysm Medical physics. Medical radiology. Nuclear medicine Biopsy medicine Radiology Nuclear Medicine and imaging Giant cell arteritis medicine.diagnostic_test business.industry CT Computerized Tomography Tissue sampling medicine.disease Coronary Artery Bypass Graft (CABG) medicine.anatomical_structure Male patient Radiology business Artery |
| Zdroj: | Radiology Case Reports Radiology Case Reports, Vol 16, Iss 12, Pp 3734-3738 (2021) |
| ISSN: | 1930-0433 |
| Popis: | Giant cell arteritis, the most common form of vasculitis in the elderly, is characterized by granulomatous inflammation of arteries, which can lead to serious, life-threatening conditions including aortic aneurysms, ruptures, and dissections as well as blindness. Since GCA can be treated by immunosuppressant therapy, such as corticosteroids, early diagnosis and treatment may reduce the risk of serious disability and morbidity. While temporal artery biopsy is considered the gold standard to diagnosis giant cell arteritis, it is intrusive with inherent risks as well as unreliable due to tissue sampling. Imaging studies, such as computerized tomography, are nonintrusive and have been shown to identify vasculitis including giant cell arteritis. We present a case of a 72-year-old male patient who was diagnosed with giant cell arteritis by temporal artery biopsy during surgery for aortic aneurysm and coronary artery bypass graft. Computerized tomography imaging studies, prior to the surgery and biopsy, were suggestive of vasculitis. This case serves to emphasize the beneficial role of imaging studies to assess vasculitis, including giant cell arteritis, that can be done prior to the progressive development of more serious debilitating and potentially fatal pathology. |
| Databáze: | OpenAIRE |
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