RESUMO
Giant cell arteritis is a rare, poorly understood, and often misdiagnosed entity. A case is reported of giant cell arteritis in a 30-year-old white male who developed severe bilateral peripheral claudication affecting both legs. The erythrocyte sedimentation rate (ESR) was markedly elevated. The diagnosis of vasculitis was established by histology postoperatively following exploration of both superficial femoral arteries and the placement of a reversed saphenous vein bypass graft to the right leg. Biopsy of the temporal artery revealed no pathology. The patient has been completely asymptomatic postoperatively and has resumed all previous normal activities. This condition has persisted in spite of a failed graft determined by an arteriogram performed 3 months after surgery. He has been treated with steroids continuously since the procedure.
Assuntos
Artéria Femoral , Arterite de Células Gigantes/diagnóstico , Adulto , Biópsia , Doença Crônica , Artéria Femoral/diagnóstico por imagem , Artéria Femoral/patologia , Artéria Femoral/cirurgia , Arterite de Células Gigantes/patologia , Arterite de Células Gigantes/cirurgia , Oclusão de Enxerto Vascular/diagnóstico por imagem , Humanos , Claudicação Intermitente/diagnóstico , Claudicação Intermitente/patologia , Claudicação Intermitente/cirurgia , Masculino , Radiografia , Veia Safena/transplante , Artérias Temporais/patologia , UltrassonografiaRESUMO
A case is reported of prolonged survival after pneumonectomy for anaplastic carcinoma of the left lung and excision of metastatic anaplastic carcinoma of the brain. The patient has survived for 8 years, 6 months after the lung surgery and 7 years after the brain surgery.
