title: Giant Cell Arteritis with Facial Edema Presenting with Delayed Jugular Venous Flow.
abstract: The detection of abnormalities of the cranial arteries on magnetic resonance imaging (MRI) is useful for the diagnosis of giant cell arteritis (GCA). However, reports on the veins of GCA patients are rare. We report the case of an elderly woman with GCA who presented with facial edema. She presented with a one month history of headache and facial edema. After MRI and enhanced computed tomography revealed delayed blood flow in the left jugular vein, a temporal artery biopsy was performed. She was diagnosed with GCA based on the biopsy findings. Following corticosteroid therapy, her symptoms and venous flow improved. The present case indicates that delayed jugular venous flow can occur in GCA patients with facial edema.
authors.affiliation: Department of General Internal Medicine, Kobe City Medical Center General Hospital, Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Kanzawa
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Mizuno
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Imai
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nishioka
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000368:Aged; D000799:Angioedema / Q000209:etiology* / Q000473:pathology; D001158:Arteries / Q000473:pathology; D001706:Biopsy; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology*; D006261:Headache / Q000473:pathology; D006801:Humans; D007601:Jugular Veins / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D013699:Temporal Arteries / Q000473:pathology
chemical_list: D000305:Adrenal Cortex Hormones