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Isquemia de extremidades inferiores secundaria a arteritis de la arteria temporal
Zárate B., Cristian; Martínez R-E., María Eugenia; Sfeir V., Pedro; Drazic B., Obren; Vargas S., José F; Torrealba F., José I.; Bergoeing R., Michel; Mariné M., Leopoldo; Valdés E., Francisco; Mertens M., Renato.
Affiliation
  • Zárate B., Cristian; s.af
  • Martínez R-E., María Eugenia; s.af
  • Sfeir V., Pedro; s.af
  • Drazic B., Obren; s.af
  • Vargas S., José F; s.af
  • Torrealba F., José I.; s.af
  • Bergoeing R., Michel; s.af
  • Mariné M., Leopoldo; s.af
  • Valdés E., Francisco; s.af
  • Mertens M., Renato; s.af
Rev. méd. Chile ; 148(10)oct. 2020.
Article in Spanish | LILACS | ID: biblio-1389210
Responsible library: BR1.1
ABSTRACT
Giant cell arteritis is more common in women older than 60 years, is associated with systemic inflammation symptoms and mainly involves the aortic arch and cranial arteries, specially the temporal artery. Symptomatic lower extremity arterial stenosis or occlusion is uncommon and can lead to limb loss. We report a 73-year-old woman presenting with a one-month history of lower extremity intermittent claudication of sudden onset. She also complained of fever, malaise, headache and weight loss. A non-invasive vascular study showed moderate femoral popliteal occlusive disease, with and abnormal ankle-brachial index (0.68 and 0.83 on right and left sides, respectively). An angio-computed tomography showed thickening of the aortic wall and severe stenosis in both superficial femoral arteries. Steroidal treatment was started, and a temporal artery biopsy was performed confirming giant cell arteritis. Six weeks after steroid therapy the patient had a complete remission of symptoms. A serologic exacerbation was subsequently treated with a humanized monoclonal antibody against the interleukin-6 receptor Tocilizumab, obtaining long time remission.
Subject(s)

Full text: Available Collection: International databases Database: LILACS Main subject: Giant Cell Arteritis Limits: Aged / Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2020 Document type: Article
Full text: Available Collection: International databases Database: LILACS Main subject: Giant Cell Arteritis Limits: Aged / Female / Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2020 Document type: Article
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