title: Giant cell arteritis presenting as critical lower limb ischemia.
abstract: A 62-year-old woman presented with ischemic pain of her lower limb on 2 occasions, without upper limb or cranial vessel involvement. She was treated with open bypass of her left lower limb when she presented with critical limb ischemia during her second admission. Although bilateral temporal artery biopsies were negative, superficial femoral artery biopsy at the time of surgery confirmed the diagnosis of giant cell arteritis. Corticosteroid therapy was promptly commenced.
authors.affiliation: 1Department of Vascular Surgery, Box Hill Hospital, Melbourne, Victoria, Australia.
authors.forename: Zhou Yaw
authors.initials: ZY
authors.lastname: Loo
authors.forename: Stephen
authors.initials: S
authors.lastname: Thwaites
authors.forename: Phyo
authors.initials: P
authors.lastname: Kyaw
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D015901:Angiography, Digital Subtraction; D001706:Biopsy; D003251:Constriction, Pathologic; D016638:Critical Illness; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000187:drug effects; D013700:Giant Cell Arteritis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D035002:Lower Extremity / Q000098:blood supply*; D008875:Middle Aged; D016896:Treatment Outcome; D058017:Vascular Grafting
chemical_list: D000305:Adrenal Cortex Hormones
keywords: giant cell arteritis; ischemia; lower limbs; surgery