1/13. Giant cell (temporal) arteritis diagnosed following upper limb claudication.giant cell arteritis or temporal arteritis occurs almost exclusively in people over 50 years of age. It classically presents with new onset temporal headache, scalp tenderness and jaw claudication. Proximal muscle pain and stiffness is often present because of frequent association with polymyalgia rheumatica. In most cases, the erythrocyte sedimentation rate is markedly elevated. Uncommon presentations include systemic symptoms and symptoms related to large artery involvement. We report a case of giant cell arteritis without symptoms related to the temporal artery, diagnosed angiographically following upper limb claudication and confirmed by temporal artery biopsy.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/13. Large artery involvement in giant cell (temporal) arteritis.Of 248 patients with giant cell arteritis, 34 had evidence that the disease affected the aorta or its major branches. Symptoms suggestive of large artery involvement were intermittent claudication of an extremity, paresthesias, and Raynaud's phenomenon. Physical findings included absent or decreased large artery pulses and bruits over large arteries. Four patients presented with decreased upper extremity pulses as the initial manifestation of their arteritis. Nine other patients under treatment for temporal arteritis or polymyalgia rheumatica first developed evidence of large artery involvement as corticosteroid therapy was tapered or discontinued. angiography, performed in 10 patients, was helpful in indicating arteritis rather than atherosclerosis as the cause of large artery disease. Three patients died with aortic rupture, and, at autopsy, widespread giant cell arteritis was found. However, when corticosteroids were given in adequate doses, the response was favorable in most patients; intermittent claudication decreased and the pulses improved.- - - - - - - - - - ranking = 6keywords = giant (Clic here for more details about this article) |
3/13. Bilateral intermittent claudication and the aorta.With the increasing utilization of imaging strategies such as transesophageal echocardiography and magnetic resonance imaging, thrombi of the aorta are becoming increasingly recognized as sources of peripheral emboli. This report describes a 70-year-old man with bilateral intermittent claudication. Arteriography revealed occlusion of the distal part of the right tibialis posterior artery and the left tibialis anterior artery, but no occlusive atherosclerotic disease of the iliac, femoral, or popliteal artery. Additionally, no calcification of the vessels could be demonstrated. In contrast, a giant thrombus of the descending aorta was identified as the source of systemic thromboembolism. The patient was treated successfully with long-term anticoagulation.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
4/13. giant cell arteritis presenting as limb claudication. Report and review of the literature.Upper limb claudication and pulselessness is an uncommon presentation of giant cell arteritis (GCA), often resulting in delayed diagnosis. We describe such a case diagnosed by angiography, in which a temporal artery biopsy showed classic GCA, despite the absence of local signs or symptoms. A review of 26 similar cases revealed that in 81% of patients where the only manifestation of GCA was upper limb findings, temporal artery biopsy yielded positive findings. Steroid therapy clinically improved 24/26 patients. These findings suggest that a consideration of temporal artery biopsy early in the investigation will hasten diagnosis and appropriate therapy.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
5/13. Bilateral superficial femoral giant cell arteritis.giant cell arteritis is a rare, poorly understood, and often misdiagnosed entity. A case is reported of giant cell arteritis in a 30-year-old white male who developed severe bilateral peripheral claudication affecting both legs. The erythrocyte sedimentation rate (ESR) was markedly elevated. The diagnosis of vasculitis was established by histology postoperatively following exploration of both superficial femoral arteries and the placement of a reversed saphenous vein bypass graft to the right leg. biopsy of the temporal artery revealed no pathology. The patient has been completely asymptomatic postoperatively and has resumed all previous normal activities. This condition has persisted in spite of a failed graft determined by an arteriogram performed 3 months after surgery. He has been treated with steroids continuously since the procedure.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
6/13. giant cell arteritis in a 20-year-old black man: a cause of intermittent calf claudication.giant cell arteritis in a young black man is an extremely unusual occurrence. A 20-year-old black man came for treatment of bilateral leg claudication that had been present for a 2-month period. His medical and angiographic evaluation led to an arterial biopsy that demonstrated giant cell arteritis. The patient was treated with corticosteroids and his condition has subsequently improved. Unusual variants of giant cell arteritis are discussed.- - - - - - - - - - ranking = 2keywords = giant (Clic here for more details about this article) |
7/13. Temporal arteritis-like presentation of carotid atherosclerosis.A 68 year-old woman presented with a two-week history of amaurosis fugax, ipsilateral fronto-temporal headache and jaw claudication suggesting carotid giant cell arteritis. However, this syndrome proved to be due to atherosclerosis causing complete occlusion of the external carotid artery at its origin and narrowing of the internal carotid artery. Combined external and internal carotid endarterectomy relieved the symptoms. The symptom complex of temporal arteritis may be rarely mimicked by carotid atherosclerotic occlusive disease.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
8/13. giant cell arteritis diagnosed following arm claudication.A patient is described whose initial symptoms, though suggestive of polymyalgia rheumatica, were attributed to psoriatic arthritis, and whose subsequent development of claudication of the left arm led to the biopsy proven diagnosis of giant cell arteritis. attention is drawn to widespread arterial involvement by giant cell arteritis which, though uncommon, must be considered in all patients with ischemic limb pain. In addition, the consequences of overlooking polymyalgia rheumatica as an early manifestation of giant cell arteritis are outlined.- - - - - - - - - - ranking = 3keywords = giant (Clic here for more details about this article) |
9/13. Peripheral arterial insufficiency due to giant cell arteritis.Progressive peripheral arterial insufficiency developed in a 53-year-old man who was referred for investigation of fever of unknown origin. Angiograms showed a smooth beaded appearance to both deep femoral arteries and biopsy of an occluded popliteal artery disclosed the lesions of giant cell arteritis. An excellent clinical response was obtained with steroid therapy.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
10/13. A case report. jaw claudication: a sign of giant cell arteritis.jaw claudication is an often unrecognized sign of giant cell arteritis. The significance of this symptom has been underemphasized in the dental literature. dentists should consider jaw claudication when making the differential diagnosis of jaw pain, especially in the elderly patient. early diagnosis and treatment of giant cell arteritis may help save a patient's vision.- - - - - - - - - - ranking = 6keywords = giant (Clic here for more details about this article) |
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