[A late onset diagnosis of giant cell arteritis in remission]

J Willem; M C Besse; J Magnant; F Maillot; A Audemard-Verger; C Giret; Y Ramdani

doi:10.1016/j.revmed.2023.07.007

[A late onset diagnosis of giant cell arteritis in remission]

Rev Med Interne. 2023 Oct;44(10):536-538. doi: 10.1016/j.revmed.2023.07.007. Epub 2023 Aug 8.

[Article in French]

Authors

J Willem¹, M C Besse², J Magnant¹, F Maillot², A Audemard-Verger², C Giret², Y Ramdani³

Affiliations

¹ Department of internal medicine-clinical immunology, hôpital Bretonneau, CHRU de Tours, Tours, France.
² Department of internal medicine-clinical immunology, hôpital Bretonneau, CHRU de Tours, Tours, France; Faculté de médecine de Tours, université de Tours, Tours, France.
³ Department of internal medicine-clinical immunology, hôpital Bretonneau, CHRU de Tours, Tours, France; Faculté de médecine de Tours, université de Tours, Tours, France. Electronic address: yanis.ramdani@univ-tours.fr.

PMID: 37558600
DOI: 10.1016/j.revmed.2023.07.007

Abstract

Giant-cell arteritis (GCA) is a classical cause of chronical inflammation (CI) in the elderly, causing headaches, scalp hypersensitivity and jaw claudication. We describe a patient with a GCA revealed with a year-long biological inflammation and weight loss. Diagnosis was performed on a systematic temporal artery biopsy showing typical histological features. No treatment was intended as the patient had a spontaneous remission, maintained at one year of follow-up. This case highlights the benefit of a systematic temporal artery biopsy to explore CI and reminds us that GCA may undergo spontaneous remission.

Keywords: Artérite à cellules géantes; Fever; Fièvre; Giant cell arteritis; Guérison spontanée; Horton; Spontaneous remission; Vascularite; Vascularitis.

Publication types

English Abstract