Normal inflammatory markers in giant cell arteritis with long-standing cranial and symptomatic large-vessel involvement

Alicia Rodriguez-Pla, Sailendra G. Naidu, Yasmeen M. Butt, Victor J. Davila

Research output: Contribution to journalArticlepeer-review

Abstract

We report the case of a 78-year-old woman who presented with cardiovascular risk factors and a history of an atypical transient ischaemic attack. She was referred by her primary care physician to the vascular surgery department at our institution for evaluation of progressive weakness, fatigue, arm claudication and difficulty assessing the blood pressure in her right arm. She was being considered for surgical revascularisation, but a careful history and review of her imaging studies raised suspicion for vasculitis, despite her normal inflammatory markers. She was eventually diagnosed with biopsy-proven giant cell arteritis with diffuse large-vessel involvement. Her symptoms improved with high-dose glucocorticoids.

Original languageEnglish (US)
Article number242602
JournalBMJ case reports
Volume14
Issue number6
DOIs
StatePublished - Jun 29 2021

Keywords

  • connective tissue disease
  • musculoskeletal syndromes
  • vasculitis

ASJC Scopus subject areas

  • General Medicine

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