[MRI-based diagnosis of giant cell arteritis].
The giant cell arteritis and its symptoms are usually non-specific and accompanied with symptoms of polymyalgia rheumatica. As complications of the giant cell arteritis ischemia, infarction or rupture of the damaged vessel can occur. We report on a 56-year-old female patient, who suffered for one year about weight loss, tiredness and intolerance as well as symptoms of polymyalgia rheumatica. Gastroscopy and colonoscopy showed normal findings. In the context of the malignancy search we made a computer tomography and magnet resonance tomography. The data showed an enlargement and an enhancement of the aorta, which led us to the suspicion of a giant cell arteritis. We started immediately with a medical treatment. The biopsy of the arteries temporales supported histological the diagnosis.
Vetter
C
C
Klinik für Aligemeine Innere Medizin, Inselspital, Universitätsspital Bern.
Bonél
H
H
Burkhard
V
V
Bielecki
J W
JW
Müller
B U
BU
D001025:Aortitis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D001706:Biopsy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D013700:Giant Cell Arteritis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D009131:Muscle, Smooth, Vascular / Q000473:pathology*; D011111:Polymyalgia Rheumatica / Q000209:etiology*; D011241:Prednisone / Q000627:therapeutic use; D013699:Temporal Arteries / Q000473:pathology
D007166:Immunosuppressive Agents; D011241:Prednisone