Document Detail

Giant cell arteritis manifesting as mesenteric ischemia.
MedLine Citation:
PMID:  16275465     Owner:  NLM     Status:  MEDLINE    
We report a case of giant cell arteritis in an 80-year-old woman who presented with chronic mesenteric ischemia to our vascular surgery service. Computed tomography, arteriography, and magnetic resonance angiography revealed long, smooth stenosis of the superior mesenteric artery and focal stenosis of the celiac artery. After the patient was found to have an elevated erythrocyte sedimentation rate and a positive temporal artery biopsy specimen, glucocorticoid therapy was initiated. Giant cell arteritis is a rare and easily overlooked cause of vascular insufficiency that can result in a devastating clinical outcome if not recognized before surgical therapy or other interventions are attempted.
David Clay Evans; Michael P Murphy; Jeffrey H Lawson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  42     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-08     Completed Date:  2005-12-01     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1019-22     Citation Subset:  IM    
Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
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MeSH Terms
Aged, 80 and over
Diagnosis, Differential
Follow-Up Studies
Giant Cell Arteritis / complications,  diagnosis*
Ischemia / diagnosis*,  etiology
Magnetic Resonance Angiography
Mesentery / blood supply*
Temporal Arteries / pathology,  radiography
Tomography, X-Ray Computed

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