Giant Cell Arteritis: An Atypical Presentation Diagnosed with the Use of MRI Imaging
Giant cell arteritis (GCA) is the most common primary systemic vasculitis in western countries in individuals over the age of 50. It is typically characterised by the granulomatous involvement of large and medium sized blood vessels branching of the aorta with particular tendencies for involving the...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2016/8239549 |
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| _version_ | 1832565227369005056 |
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| author | Siddesh Shambhu Lisbet Suarez |
| author_facet | Siddesh Shambhu Lisbet Suarez |
| author_sort | Siddesh Shambhu |
| collection | DOAJ |
| description | Giant cell arteritis (GCA) is the most common primary systemic vasculitis in western countries in individuals over the age of 50. It is typically characterised by the granulomatous involvement of large and medium sized blood vessels branching of the aorta with particular tendencies for involving the extracranial branches of the carotid artery. Generally the diagnosis is straightforward when characteristic symptoms such as headache, jaw claudication, or other ischemic complications are present. Atypical presentations of GCA without “overt” cranial ischemic manifestations have become increasingly recognised but we report for the first time a case of GCA presenting as mild upper abdominal pain and generalized weakness in the context of hyponatremia as the presenting manifestation of vasculitis that was subsequently diagnosed by MRI scanning. This case adds to the literature and emphasises the importance of MRI in the evaluation of GCA patients without “classic” cranial ischemic symptoms. |
| format | Article |
| id | doaj-art-447ca42621b54a6e813b44b7433ff443 |
| institution | Kabale University |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-447ca42621b54a6e813b44b7433ff4432025-02-03T01:08:59ZengWileyCase Reports in Rheumatology2090-68892090-68972016-01-01201610.1155/2016/82395498239549Giant Cell Arteritis: An Atypical Presentation Diagnosed with the Use of MRI ImagingSiddesh Shambhu0Lisbet Suarez1Division of Academic Internal Medicine, Atlantic Health System, Overlook Hospital, Summit, NJ 07901, USADivision of Academic Internal Medicine, Atlantic Health System, Overlook Hospital, Summit, NJ 07901, USAGiant cell arteritis (GCA) is the most common primary systemic vasculitis in western countries in individuals over the age of 50. It is typically characterised by the granulomatous involvement of large and medium sized blood vessels branching of the aorta with particular tendencies for involving the extracranial branches of the carotid artery. Generally the diagnosis is straightforward when characteristic symptoms such as headache, jaw claudication, or other ischemic complications are present. Atypical presentations of GCA without “overt” cranial ischemic manifestations have become increasingly recognised but we report for the first time a case of GCA presenting as mild upper abdominal pain and generalized weakness in the context of hyponatremia as the presenting manifestation of vasculitis that was subsequently diagnosed by MRI scanning. This case adds to the literature and emphasises the importance of MRI in the evaluation of GCA patients without “classic” cranial ischemic symptoms.http://dx.doi.org/10.1155/2016/8239549 |
| spellingShingle | Siddesh Shambhu Lisbet Suarez Giant Cell Arteritis: An Atypical Presentation Diagnosed with the Use of MRI Imaging Case Reports in Rheumatology |
| title | Giant Cell Arteritis: An Atypical Presentation Diagnosed with the Use of MRI Imaging |
| title_full | Giant Cell Arteritis: An Atypical Presentation Diagnosed with the Use of MRI Imaging |
| title_fullStr | Giant Cell Arteritis: An Atypical Presentation Diagnosed with the Use of MRI Imaging |
| title_full_unstemmed | Giant Cell Arteritis: An Atypical Presentation Diagnosed with the Use of MRI Imaging |
| title_short | Giant Cell Arteritis: An Atypical Presentation Diagnosed with the Use of MRI Imaging |
| title_sort | giant cell arteritis an atypical presentation diagnosed with the use of mri imaging |
| url | http://dx.doi.org/10.1155/2016/8239549 |
| work_keys_str_mv | AT siddeshshambhu giantcellarteritisanatypicalpresentationdiagnosedwiththeuseofmriimaging AT lisbetsuarez giantcellarteritisanatypicalpresentationdiagnosedwiththeuseofmriimaging |