Document Detail


A case of silent giant cell arteritis involving the entire aorta, carotid artery and brachial artery screened by integrated PET/CT.
MedLine Citation:
PMID:  17340046     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of giant cell arteritis involving the aorta and several large arteries identified by integrated positron emission tomography (PET)/computed tomography (CT) obtained in a patient with a high erythrocyte sedimentation rate (ESR). A 63-year-old man with anemia and a high ESR noted on a regular medical examination was transferred to our department. The patient complained of only a low-grade general weakness for several months; there were no specific symptoms or signs. A PET was recommended. The image showed strong (18)F-fluorodeoxyglucose ((18)F-FDG) uptake at the ascending aorta, aortic arch, descending aorta, thoraco-lumbar aorta, brachial artery, and the carotid artery wall, bilaterally. Suspicious for large-vessel vasculitis, a temporal artery biopsy was performed, which confirmed giant cell arteritis. After treatment with prednisolone, the high ESR and anemia resolved, and (18)F-FDG uptake decreased on follow-up integrated PET/CT.
Authors:
Chang Mo Kwon; Yeong Hoon Hong; Kyung Ah Chun; Ihn Ho Cho; Mi Jin Kim; Dong Gu Shin; Myung Soo Hyun; Young Jo Kim
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-03-06
Journal Detail:
Title:  Clinical rheumatology     Volume:  26     ISSN:  0770-3198     ISO Abbreviation:  Clin. Rheumatol.     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-01     Completed Date:  2008-01-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211469     Medline TA:  Clin Rheumatol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  1959-62     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Aorta / pathology*
Biopsy
Blood Sedimentation
Brachial Artery / pathology*
Carotid Arteries / pathology*
Fluorodeoxyglucose F18 / pharmacology
Giant Cell Arteritis / diagnosis*,  genetics*
Humans
Male
Middle Aged
Positron-Emission Tomography / methods*
Temporal Arteries / pathology
Tomography, X-Ray Computed / methods*
Whole Body Imaging
Chemical
Reg. No./Substance:
63503-12-8/Fluorodeoxyglucose F18

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


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