Document Detail

Giant cell arteritis presenting with arm claudication.
MedLine Citation:
PMID:  11395348     Owner:  NLM     Status:  MEDLINE    
CASE REPORT: A 72-year-old woman presented after a series of falls with a history of malaise, lethargy, cold hands and arm weakness for several months. She had undergone extensive investigation for what remained an unexplained anaemia during this period. Examination revealed cold hands with absent radial pulses. Axillary Doppler studies confirmed grossly diminished systolic pressures. The erythrocyte sedimentation rate was markedly elevated. An arch aortogram showed obliterative changes selectively affecting the subclavian and axillary arteries. In spite of clinically normal temporal arteries, and the absence of headache, temporal artery biopsy revealed giant cell arteritis.
DISCUSSION: Aortic arch syndrome is an important but under-appreciated complication of giant cell arteritis and may be the presenting feature. In this case, it resulted in falls consequent upon arm claudication when using a walking frame.
J Kelly; A G Rudd
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Age and ageing     Volume:  30     ISSN:  0002-0729     ISO Abbreviation:  Age Ageing     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-06-18     Completed Date:  2001-11-01     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  England    
Other Details:
Languages:  eng     Pagination:  167-9     Citation Subset:  IM    
Department of Elderly Care, St Thomas' Hospital, Lambeth Palace Road, Lambeth, London SE1 7EH, UK.
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MeSH Terms
Arm / abnormalities*
Giant Cell Arteritis / physiopathology*,  therapy
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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