Document Detail

Bilateral axillobrachial and external carotid artery manifestation of giant cell arteritis: important role of color duplex ultrasonography in the diagnosis.
MedLine Citation:
PMID:  15997226     Owner:  NLM     Status:  MEDLINE    
A 76-year-old man was admitted to our hospital with vertigo. Previously he had been extensively examined because of an increased erythrocyte sedimentation rate without any clinical symptoms. Physical examination revealed 60 mmHg blood pressure difference between the two arms. Color duplex ultrasound examination revealed bilateral extreme narrowing of the external carotid and axillobrachial artery with a dark, hypo-echoic halo around the lumen. This condition was recognized as a specific sign for giant cell arteritis (GCA), described originally in cases of temporal arteritis. The diagnosis was confirmed by biopsy of the temporal artery. In contrast to the typical cranial form of GCA -- our patient showed an unusual, bilateral large-vessel manifestation. The diagnosis was based on ultrasound images rather than on symptoms that characterize the well-known temporal form. This observation emphasizes the role of color duplex ultrasonography in the diagnosis and follow-up of GCA.
E Kolossváry; A Kollár; H Pintér; E Erényi; I Kiséry; H Péter; K Farkas; L Mogán; C Farsang; I Kiss
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  24     ISSN:  0392-9590     ISO Abbreviation:  Int Angiol     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-05     Completed Date:  2006-11-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  202-5     Citation Subset:  IM    
1st Department of Internal Medicine, St Imre Municipal Hospital, Budapest, Hungary.
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MeSH Terms
Brachial Artery*
Carotid Artery Diseases / etiology*,  ultrasonography*
Carotid Artery, External*
Giant Cell Arteritis / complications*,  ultrasonography*
Ultrasonography, Doppler, Color*

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