Self-limited giant cell arteritis: The dilemma associated with its diagnosis and treatment

Giant cell arteritis (GCA) can result in visual loss and other sequelae. An 81-year-old man presented with a one-week history of fever. He had bilateral temporal headache, jaw claudication, tenderness of the temporal arteries and a recent skin rash. A temporal artery biopsy showed typical GCA, but t...

Full description

Saved in:
Bibliographic Details
Published in:Internal Medicine 2024, pp.3840-24
Main Authors: Hirose, Koki, Kanzawa, Yohei, Sano, Nobuya, Tsuruta, Keishiro, Mizuki, Shimpei, Nakajima, Takahiro, Ishimaru, Naoto, Kinami, Saori
Format: Article
Language:English
Subjects:
immunoreaction
rash
temporal arteritis
vaccination
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Giant cell arteritis (GCA) can result in visual loss and other sequelae. An 81-year-old man presented with a one-week history of fever. He had bilateral temporal headache, jaw claudication, tenderness of the temporal arteries and a recent skin rash. A temporal artery biopsy showed typical GCA, but the symptoms were self-limiting. We continued close observation, without administering prednisolone treatment. Five months later, the symptoms did not recur, and prednisolone again was not administered. Our patient presented with an atypical course of GCA that created a clinical dilemma. The final diagnosis was self-limiting GCA.
ISSN:0918-2918
1349-7235
1349-7235
DOI:10.2169/internalmedicine.3840-24