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Aspectos Clínicos da Arterite Temporal The Horton’s disease, also known as giant cells arteritis (GCA), temporal arteritis or cranial arteritis (1) (2), is a chronic . arteritis, and temporal arteritis) is the most common of the systemic vasculitides . Groupe de Recherche sur l’Artérite à Cellules Géantes. RESUMO – É raro doença encéfalo-vascular como primeira manifestação de arterite temporal. Relatamos dois casos, nos quais o diagnóstico emergiu da.

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Archived from the original on 22 October Treatment is typically with high doses of steroidssuch as prednisone.

The pulse is commonly diminished or absent in the advanced phases. Transfusion-associated graft versus host disease.

Therefore, inflammatory reaction proofs must be monitored, such as the VSG decrease and C reactive protein. Vasculitis of the internal carotid artery in Wegener’s granulomatosis: American Journal of Neuroradiology. However both mortality and morbidity associated to such vasculitis are higher and higher, specially due to its clinical manifestations, the age of the population affected and the relative therapeutic aggressivity.

Temporal artery biopsy diagnosis of giant cell arteritis: Thus, we should suspect of GCA in patients above 50 years old with this ophthalmologic condition diagnosis, and start the corticotherapy even with normal ESR The true interval for halo disappearance could be even shorter if closer follow-up points had been chosen.


Other diseases associated with temporal arteritis are systemic lupus erythematosusrheumatoid arthritisand severe infections.

Giant-cell arteritis – Wikipedia

Clinically, most cases have an insidious beginning, which explains the delay until the diagnosis that many times is observed in this disease 5. Women are twice atterite likely as men to have GCA. When the biopsy is negative, but the clinical suspicion is high, we should perform contralateral biopsy.

Doppler waveform at temporal artery trunk indicative of stenosis in a patient without giant cell arteritis. GV participated in the design and coordination of the study and the clinical follow-up.

M Kanakis helped in the clinical follow-up and in the analysis and interpretation of the data and helped to draft the manuscript. Multinuclear giant cells are commonly seen in the vicinity of degenerated muscular cells or sometimes close to the elastic fragmented cell.

Clinical Aspects of the Temporal Arteritis

There may occur dysacusis, necrosis of the tongue and odynophagia. Such headache is from a short time ago, temporak 15 days to 1 month and is different from other headaches the patient could have had before. Zuber M, Mas J-L. Blood-flow abnormal parameters temporal artery diameter, peak systolic blood-flow velocities, stenoses, occlusions were common in GCA and non-GCA patients, as well as in healthy and atherosclerotic disease-control, elderly subjects.

Systemic lupus erythematosus Subacute bacterial endocarditis Rheumatoid arthritis. Within the neurologic manifestations, the main complaint atrerite headache which is the GCA’s cardinal affection and the most frequent complaint that leads the patient to the doctor.


CDS examination is an inexpensive, non-invasive, reproducible, and easy-to-perform method that should precede temporal artery biopsy in all patients with suspected GCA. Flow velocity was lower at halo sites in many patients. Finally, hypoechogenic ring areas, which appeared around the lumen of the temporal artery and could be detected in one or more sites unilaterally or bilaterally, were defined as halos.

What Is Giant Cell Arteritis?

The microscopic exam reveals a panarteritis with perivascular inflammatory infiltrate, intimate hypertrophy, medium necrosis associated with granulomatous tissue formation, presence of giant cells and light thrombosis.

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Such other manifestations are not as frequent as headache, but in some cases it may be absent, and there’s the presence of other symptoms Arteritis of Hidden Giant Cells. Rheumatology Diseases of the eye and adnexa Medical emergencies Neurological disorders Steroid-responsive inflammatory conditions Vascular-related cutaneous conditions.

There is interposition of healthy and other committed areas. Current Rheumatology Diagnosis and Treatment. Sixty consecutive patients aged 50 years or above who presented at the outpatient Rheumatology or Internal Medicine Clinics at Laikon Hospital Athens, Greece between and with clinical suspicion of GCA were prospectively studied.