Aspectos Clínicos da Arterite Temporal The Horton’s disease, also known as giant cells arteritis (GCA), temporal arteritis or cranial arteritis (1) (2), is a chronic . arteritis, and temporal arteritis) is the most common of the systemic vasculitides . Groupe de Recherche sur l’Artérite à Cellules Géantes. RESUMO – É raro doença encéfalo-vascular como primeira manifestação de arterite temporal. Relatamos dois casos, nos quais o diagnóstico emergiu da.

Author: Faenos Digal
Country: Lebanon
Language: English (Spanish)
Genre: Photos
Published (Last): 10 November 2018
Pages: 120
PDF File Size: 4.45 Mb
ePub File Size: 20.51 Mb
ISBN: 828-4-65904-315-2
Downloads: 3485
Price: Free* [*Free Regsitration Required]
Uploader: Kerisar

In the chronic phase, such changes are replaced for paleness and atrophy 5. Some report pain in any part of the head or diffusely as in the muscular contraction headache 9.

The halo was visible in the patient with Wegener’s granulomatosis for 2 months after the initiation of treatment without any significant change in echogenity and disappeared thereafter. Tapering may require two or more years. Scot Med J ; Histologic and ultrastructural characteristics of temporal arteritis.

How to cite this article. The disorder may coexist in a half of cases [11] with temoral rheumatica PMRwhich is characterized by sudden onset of pain and stiffness in muscles pelvisshoulder of the body and is seen in the elderly. The differential diagnosis includes dental problems, trigeminal neuralgia, sinusitis, otitis, blood vessels or ocular muscles alterations, among many other causes of headache tempoarl Foreign Atopic eczema Allergic urticaria Allergic rhinitis Hay fever Allergic asthma Anaphylaxis Food allergy common allergies include: Doppler ultrasonography in the diagnosis of giant cell arteritis.

Anisocoria occurs rarely in the GCA, since the ciliary ganglion is rich in anastomoses. Giant cell arteritis is the most common primary systemic vasculitis.

It is more common in women than in men by a ratio of 2: The diagnostic value of colour duplex sonography CDShowever, remains the subject of debate; Salvarani et al. The temporal artery biopsy must be carried out in all patients for whom there is suspicion of GCA based on the anamnesis and physical exam, even if the ESR had been normal 5. Revista da Sociedade Portuguesa de Medicina Interna. Que pacientes atende um neurologista? Giant-cell arteritis can involve branches of the aorta as well, leading to an aortic aneurysm or dissection.


The contrary, that is, ophthalmoplegia without diplopia, is very common, and it occurs when the vision is significantly reduced. Archived from the original on 22 October InPaulley e Hughes described many forms argerite the disease. Published online Jul Giant-cell arteritis GCAalso called temporal arteritisis an argerite disease of blood vessels. It’s known it’s a reaction depending on T-cells activated by antigen and that the giant cells hurt the inner coat and also damage the vessels elasticity, since they damage the vessels whose wall contains elastic tissue, and suggest that the elastin becomes antigenic in time and starts an immunomediated inflammatory reaction; however, no anti-elastin antibodies were found 8.

This frequency is clearly lower than expected [ 1 – 3 ], artterite similar findings have been reported in other cohorts arferite patients with GCA [ yemporal ]. Inboth mono and binocular vision loss was registered for the first time as a complication in the affected patients. Does this patient have temporal arteritis?

Clinical Aspects of the Temporal Arteritis

The intense headache, temporal tumefaction, mandibular claudication and visual loss are the main signals and symptoms. Clinical efficacy of temporal artery biopsy in Nashville, Tennessee. A 75 years old man presented Wallemberg syndrome.

Goodpasture’s syndrome Sneddon’s syndrome. Unable to process the form. In agreement with previous reports [ 927 ], halos disappeared within a mean of 22 days after the initiation of corticosteroid treatment in our patients.

Of 60 consecutive patients with clinically suspected GCA who entered the study, five patients did not complete the 3-month follow-up and were excluded from the analysis. Campimetric defects and cortical blindness, resulting from the vertebral, carotid and hypofisary arteries involvement have also been reported 9.

Results Baseline characteristics and final diagnoses in patients with clinically suspected GCA Of 60 consecutive patients with clinically suspected GCA who entered the study, five patients did not complete the 3-month follow-up and were excluded from the analysis.


The inflammation may affect blood supply to the eye ; blurred vision or sudden blindness may occur. Arterte then, more varied types of arteriye manifestations, prognostics and complications were observed 2. A formal evaluation of inter-reader variability was not conducted in our study; such data could help in minimizing false-positive or -negative findings which can be obtained even by experienced sonographers.

Ophthalmoplegia is a frequent manifestation of the GCA and, sometimes, when the tropy measures only a few dioptres, the patients complain of diplopia without the ophthalmoparesis to be detected in the clinical exam.

Such other manifestations are not as frequent as headache, but in some cases it may be absent, and there’s the presence of other symptoms Arteritis of Hidden Giant Cells.

What Is Giant Cell Arteritis?

Moreover, the examination should be performed by a modern scanner with adequate resolution to investigate the small temporal arteries placed near the skin surface [ 10 ]. Materials and methods Protocol Sixty consecutive patients aged 50 years or above arrterite presented at the outpatient Rheumatology or Internal Medicine Clinics at Laikon Hospital Athens, Greece between and with clinical suspicion of GCA were prospectively studied.

There isn’t not much information about the treatment of patients with GCA, who present with contraindications for the use of corticoids, although some defend the use of metotrexate, or of other immunosuppressive drugs Hypersensitivity and autoimmune diseases Hypoechoic area around the temporal artery trunk in longitudinal upper panel and transverse lower panel views. Please review our privacy policy.

Therefore, this condition is considered a medical emergency. Wegener’s granulomatosis associated with vasculitis of the temporal artery: In case of bilateral halo signs, treatment should be initiated without proceeding with biopsy. Edit article Share article View revision history. Epidemiological and immunogenetic aspects of polymyalgia rheumatica and giant tepmoral arteritis in northern Italy.