title: Giant-cell arteritis of the female genital tract.
abstract: 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.
authors.affiliation: Department of Infectious and Tropical Diseases, Brabois Hospital, Nancy, France.
authors.forename: B
authors.initials: B
authors.lastname: Hoen
authors.forename: V
authors.initials: V
authors.lastname: Baty
authors.forename: B
authors.initials: B
authors.lastname: Aymard
authors.forename: P
authors.initials: P
authors.lastname: Judlin
authors.forename: B
authors.initials: B
authors.lastname: Foliguet
authors.forename: P
authors.initials: P
authors.lastname: Canton
mesh_terms: 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