| Dissection of the temporal artery in a patient with giant cell arteritis. | |
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MedLine Citation:
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PMID: 17039100 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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A 74-year-old woman presented to her rheumatologist with classic symptoms of giant cell arteritis. The temporal arteries were strikingly swollen, warm, and erythematous. On biopsy of the right temporal artery, a focal dissection was found associated with a pan-arteritis and giant cells. Isolated temporal artery dissection in giant cell arteritis has not been reported previously. We propose that the unusually intense vascular inflammation may have weakened the vessel wall, so that the dissection occurred during the routine physical exam or biopsy. We believe this case illustrates that physicians should take special care in the examination of floridly inflamed vessels, because vigorous palpation might lead to dissection. In the case of patients with giant cell arteritis, dissection may result in an increased risk of ischemic complications, such as scalp necrosis. |
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Authors:
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C H Kunst; E T Weiss; L B Klickstein |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases Volume: 7 ISSN: 1076-1608 ISO Abbreviation: J Clin Rheumatol Publication Date: 2001 Apr |
Date Detail:
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Created Date: 2006-10-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9518034 Medline TA: J Clin Rheumatol Country: United States |
Other Details:
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Languages: eng Pagination: 79-82 Citation Subset: - |
Affiliation:
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Division of Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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