[Horton's bitemporal arteritis. A case report].
The authors report a case of Horton's arteritis in a woman (aged 76) presented some peculiarities. The arteritis simultaneously interested both superficial temporal arteries; in a second time caused a bilateral "claudicatio masticationis"; induced a worsening of extrapyramidal symptoms from which the patient had been suffering for many years, due to the possible involvement also of the endocranial arteries. The histologic picture on a biopsy of the left temporal artery was typical of the Horton's disease, but without giant cells; the authors suppose that this is due to a therapy with FANS administered before carrying out the biopsy. The patient was treated with cortisone per os at a low dosage, causing a quick regression of the symptoms and a normalization of the laboratory tests. Also this result differs from what most authors have observed: they maintain that Horton's arteritis has become rather resistant to the cortisone therapy and required high dosage for a very long time. The authors maintain that precocity of diagnosis and an immediate treatment can influence in a significant way the course of the disease.
Carmenini
G
G
Instituto di I Clinica medica, Università La Sapienza, Roma.
Martusciello
S
S
Di Maio
F
F
Scioli
A
A
Nicoletti
M
M
Meloni
F
F
D000368:Aged; D001706:Biopsy; D004359:Drug Therapy, Combination; D005260:Female; D013700:Giant Cell Arteritis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D007980:Levodopa / Q000008:administration & dosage; D011241:Prednisone / Q000008:administration & dosage; D011899:Ranitidine / Q000008:administration & dosage; D013577:Syndrome; D013699:Temporal Arteries / Q000473:pathology
D007980:Levodopa; D011899:Ranitidine; D011241:Prednisone
Arterite di Horton bitemporale. Presentazione di un caso.