Giant-cell arteritis of the female genital tract.
A 56-year-old woman with long-lasting fever of unknown origin was diagnosed as having a giant-cell arteritis of the genital tract with no evidence of temporal arteritis. Diagnosis relied on pathological examination, which showed a segmental panarteritis of ovaries, myometrium, endometrium and uterus cervix. Corticosteroid therapy led to clinical cure within a few weeks. Twenty-five cases of giant-cell arteritis of the female genital tract have been published of which only four were associated with temporal arteritis. We recommend that such a diagnosis should be considered in women presenting with long-lasting fever of unknown origin, even in the absence of temporal arteritis and the clinical evidence of genital abnormalities.
Hoen
B
B
Department of Infectious and Tropical Diseases, Brabois Hospital, Nancy, France.
Baty
V
V
Aymard
B
B
Judlin
P
P
Foliguet
B
B
Canton
P
P
D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000209:etiology; D005831:Genital Diseases, Female / Q000150:complications / Q000175:diagnosis*; D013700:Giant Cell Arteritis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged