Giant cell arteritis with pulmonary involvement

Objective & Hypothesis:Giant cell arteritis presents with the classical manifestations of headache, jaw claudication, disturbed vision, fever and polymyalgia rheumatica but pulmonary involvement is very rare.

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Key Findings & Data:We present a case with typical clinical manifestations of giant cell arteritis diagnosed by temporal artery biopsy together with pulmonary involvement diagnosed by an alveolointerstitial pattern in computed tomographic scan of the chest and mixed alveolitis in broncholveoler lavage fluid.

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Conclusion & Impact:Pulmonary lesions of the patient responded well to corticosteroid therapy.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Yaşlı · İlaç tedavisi · Erkek

Abstract

Giant cell arteritis presents with the classical manifestations of headache, jaw claudication, disturbed vision, fever and polymyalgia rheumatica but pulmonary involvement is very rare. We present a case with typical clinical manifestations of giant cell arteritis diagnosed by temporal artery biopsy together with pulmonary involvement diagnosed by an alveolointerstitial pattern in computed tomographic scan of the chest and mixed alveolitis in broncholveoler lavage fluid. Pulmonary lesions of the patient responded well to corticosteroid therapy.

Özet

Dev hücreli arterit baş ağrısı, çiğneme güçlüğü, görme kaybı, ateş ve polimiyaljia romatika klinik bulgularıyla seyreden ve akciğer tutulumu çok nadir görülen bir vaskülittir. Bu yazıda tipik klinik bulguların yanı sıra, toraks bilgisayarlı tomografisinde diffüz alveoler infiltrasyon ve bronkoalveoler lavaj sıvısında mikst tip alveolit saptanarak, temporal arter biyopsisi ile "dev hücreli arterit ve akciğer tutulumu" olarak değerlendirilen ve kortikosteroid tedavisiyle akciğer lezyonlarında hızlı ve tam yanıt elde edilen bir olgu sunulmuştur.

Keywords

Yaşlı İlaç tedavisi Erkek Temporal arterler Tomografi x-ışınlı bilgisayarlı Tedavi sonucu Akciğer hastalıkları interstisyal Polimiyalji romatika Aged Drug Therapy Male Temporal Arteries Tomography X-Ray Computed Treatment Outcome Lung Diseases Interstitial Polymyalgia Rheumatica

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Cite This Article

ŞAKAR, A., YORGANCIOĞLU, A., İLKER, S. S., İŞİSAĞ, A., SEYHAN, A., TAVLI, T. (2001). Giant cell arteritis with pulmonary involvement. Toraks Dergisi, Cilt: 2 - Sayı: 3, 99–102. https://ajindex.com/articles/368028

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References (1)

Rubin JL. Pulmonary vasculitis and primary pulmonary hypertension. In: Murray JF, Nadel JA, (eds). Textbook of respiratory medicine. Saunders 1994; 1692 2) Gur H, Rapman E, Ehrenfeld M, Sidi Y. Clinical manifestations of temporal arteritis: a report from Israel. J Rheumatol 1996; 23: 1927-31 3) Doyle L, McWilliam L, Hasleton PS. Giant cell arteritis with pulmonary involvement. Br J Dis Chest 1988; 82: 88-92 4) Zenone T, Souquet PJ, Bohas C, et al. Unusual manifestations of giant cell arteritis: pulmonary nodules, cough, conjunctivitis and otitis with deafness. Eur Respir J 1994; 7: 2252-4 5) Clarke JP, Roge JC, Sagan C, et al. Horton disease of pulmonary localization. Rev Pneumol Clin 1995; 51: 291-3 6) Kramer MR, Melzer E, Nesher G, Sonnenblick M. Pulmonary manifestations of temporal arteritis. Eur J Respir Dis 1987; 71: 430-3 7) Rodat O, Buzelin F, Weber M, et al Bronchopulmonary manifestations of Horton’s disease. Apropos of a case. Rev Med Interne 1983; 4: 225-30 8) Gur H, Ehrenfeld M, Izsak E. Pleural effusion as a presenting manifestation of giant cell arteritis. Clin Rheumatol 1996; 15: 200-3 9) Blockmans D, Knockaert D, Bobbaers H. Giant cell arteritis can be associated with T4-lymphocytic alveolitis. Clin Rheumatol 1999; 18: 330-3 10) Amato MB, Barbas CS, Delmonte VC, Carvalho CR. Concurrent Churg-Straus syndrome and temporal arteritis in a young patient with pulmonary nodules. Am Rev Respir Dis 1989; 139: 1539-42 11) Ladanyi M, Fraser RS. Pulmonary involvement in giant cell arteritis. Arch Pathol Lab Med 1987; 111: 1178-80 12) Glover MU, Muniz J, Bessone L, et al. Pulmonary artery obstruction due to giant cell arteritis. Chest 1987; 91: 924-5