Arm ischemia secondary to giant cell arteritis.
Patients with severe ischemic symptoms that fail to respond to steroid therapy, despite a dramatic and continuous drop in the erythrocyte sedimentation rate, may require arterial bypass surgery to overcome arterial ischemia caused by arteritis. We report the case of a patient with bilateral subclavian artery occlusion secondary to giant cell arteritis who responded well to steroid therapy and arterial reconstructive surgery. The patient has remained well for five years.
Halpin
D P
DP
Section of Peripheral Vascular Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.
Moran
K T
KT
Jewell
E R
ER
D001132:Arm / Q000098:blood supply*; D001916:Brachial Artery / Q000601:surgery; D002339:Carotid Arteries / Q000601:surgery; D003131:Combined Modality Therapy; D013700:Giant Cell Arteritis / Q000473:pathology / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011241:Prednisone / Q000008:administration & dosage; D012501:Saphenous Vein / Q000637:transplantation; D013348:Subclavian Artery / Q000473:pathology
D011241:Prednisone