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Praxis (Bern 1994) ; 95(49): 1919-24, 2006 Dec 06.
Artigo em Alemão | MEDLINE | ID: mdl-17212310

RESUMO

The giant cell arteritis and its symptoms are usually non-specific and accompanied with symptoms of polymyalgia rheumatica. As complications of the giant cell arteritis ischemia, infarction or rupture of the damaged vessel can occur. We report on a 56-year-old female patient, who suffered for one year about weight loss, tiredness and intolerance as well as symptoms of polymyalgia rheumatica. Gastroscopy and colonoscopy showed normal findings. In the context of the malignancy search we made a computer tomography and magnet resonance tomography. The data showed an enlargement and an enhancement of the aorta, which led us to the suspicion of a giant cell arteritis. We started immediately with a medical treatment. The biopsy of the arteries temporales supported histological the diagnosis.


Assuntos
Aortite/diagnóstico , Arterite de Células Gigantes/diagnóstico , Angiografia por Ressonância Magnética , Imageamento por Ressonância Magnética , Músculo Liso Vascular/patologia , Polimialgia Reumática/etiologia , Aortite/tratamento farmacológico , Aortite/patologia , Biópsia , Diagnóstico Diferencial , Seguimentos , Arterite de Células Gigantes/tratamento farmacológico , Arterite de Células Gigantes/patologia , Humanos , Imunossupressores/uso terapêutico , Prednisona/uso terapêutico , Artérias Temporais/patologia
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