| Coronary ischaemia and occlusion in giant cell (temporal) arteritis. | |
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MedLine Citation:
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PMID: 7446204 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Reports of coronary artery involvement in giant cell (temporal) arteritis--polymyalgia rheumatica (GC(T)A--PMR) together with other large arteries arising from the aorta have been numerous over the past 40 years, but on this the specialist cardiac literature has been virtually silent. This article summarises that evidence, and records nine additional patients from a large group of cases with both GC(T)A--PMR and ischaemic heart disease (IHD) observed since a previous report in 1960. The case histories illustrate the benefit from corticosteroids and the hazards of non-diagnosis and premature cessation of such treatment. It seems that many patients with arteritic IHD (and claudication) are not being identified before or after death. Possible reasons for this oversight by clinicians and pathologists are offered, and suggestions are made with regard to points in history-taking and important physical signs which may help to alert the clinician. There is autopsy evidence from Malmö, Sweden, that the prevalence of GC(T)A--PMR is much higher than at present suspected on clinical grounds. |
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Authors:
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J W Paulley |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta medica Scandinavica Volume: 208 ISSN: 0001-6101 ISO Abbreviation: Acta Med Scand Publication Date: 1980 |
Date Detail:
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Created Date: 1981-02-26 Completed Date: 1981-02-26 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370330 Medline TA: Acta Med Scand Country: SWEDEN |
Other Details:
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Languages: eng Pagination: 257-63 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Coronary Disease / complications* Diagnosis, Differential Female Giant Cell Arteritis / complications*, psychology Grief Humans Male Middle Aged Polymyalgia Rheumatica / complications*, psychology |
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