[Atypical presentation of a clinical case of giant cell arteritis].
We present a very unusual clinical case of giant cell arteritis with uterus involvement, in a women of 66 years old, that began clinical features of pain and functional limitation of shoulders and hip 3 mouth before been operated of uterus prolapse with hysterectomy. Biopsy of uterus found affected arterial vesels with wall sclerosis and granulomatous inflamation with giant cells, without necrosis, involving media and perivascular portions suggesting giant cell arteritis. In a previous reports review, we only found ten similar clinical cases. In that cases, clinical features were no suggestif of the disease. Although the well known tendency of arteritis to involve some specific vascular areas, the case we present is an example of the systemic course of the disease and his difficulty to diagnose.
Rosselló Aubach
L L
LL
Servicios de Reumatología y Medicina Interna, Hospital de Santa María, Lleida. lrosello@gss.scs.es
Torres Cortada
G
G
Cabau Rúbies
J
J
Aragón Sanz
M A
MA
Oncins Torres
R
R
D000368:Aged; D001706:Biopsy; D001799:Blood Sedimentation; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007044:Hysterectomy; D011241:Prednisone / Q000627:therapeutic use; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014599:Uterus / Q000098:blood supply / Q000473:pathology / Q000601:surgery
D005938:Glucocorticoids; D011241:Prednisone