Document Detail


Pleural effusion revealing giant cell arteritis.
MedLine Citation:
PMID:  15172028     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Pulmonary involvement is considered to be rare in giant cell arteritis (GCA), usually occurring in the course of the disease. We describe the case of a patient who developed left pleural effusion revealing GCA. Thoracic CT scan demonstrated an abundant left pleural effusion and a thickening of the aortic wall. The patient's condition improved rapidly, with regression of pulmonary clinical features and complete clearance of pleural effusion, after institution of steroid therapy. Our case report reinforces the possibility of unusual presentation of GCA; such a diagnosis should, therefore, be considered in elderly patients presenting with pulmonary manifestations, even in the absence of typical clinical features of temporal arteritis (e.g. headache, jaw claudication, blurred vision, scalp tenderness) or polymyalgia rheumatica.
Authors:
Isabelle Marie; Philippe Heliot; Jean-François Muir; Françis Roussel; Hervé Levesque; Hubert Courtois
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  European journal of internal medicine     Volume:  15     ISSN:  1879-0828     ISO Abbreviation:  Eur. J. Intern. Med.     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-Jun-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9003220     Medline TA:  Eur J Intern Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  125-127     Citation Subset:  -    
Affiliation:
Department of Internal Medicine, Centre Hospitalier Universitaire de Rouen-Boisguillaume, F-76031 Rouen Cedex, France.
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