Relapsing strokes as a manifestation of giant-cell arteritis

Authors

  • Patrícia Luís Serviço de Medicina 1 do Hospital de Egas Moniz, Lisboa, Portugal
  • João Pereira Serviço de Medicina 1 do Hospital de Egas Moniz, Lisboa, Portugal
  • Lucília Carvalho Serviço de Medicina 1 do Hospital de Egas Moniz, Lisboa, Portugal
  • Alberto Mello e Silva Serviço de Medicina 1 do Hospital de Egas Moniz, Lisboa, Portugal
  • Pedro Abecasis Serviço de Medicina 1 do Hospital de Egas Moniz, Lisboa, Portugal

Keywords:

giant-cell arteritis, vasculitis, repeated strokes, systemic inflammatory reaction, therapeutic

Abstract

Giant-cell arteritis is a vasculitis that causes injury in small and
medium calibre arteries, preferentially aorta and its cranial branches, what explains some of its classic symptoms (amaurosis,
jaw claudication). There are, however, other manifestations to
expect, so the authors present two clinical cases where diagnostic
suspection was held by repeated strokes, simultaneously with a
steady increase of several inflammatory parameters.

Downloads

Download data is not yet available.

References

Salvairi C, Lentini F, Boiardi L, Hunder G. Polymyalgia Rheumatica and Giant Cell Arteritis. New England Journal of Medicine 2002; 347(4):261-271.

Smetana G, Shmerling R. Does this patient have temporal arteritis? JAMA 2002 ;287(1):92-101.

Emsley HC, Tyrrell PJ. Inflammation and infection in clinical stroke.J Cereb Blood Flow Metab 2002; 22(12):1399-1419.

Kaiser M, Weyand C, Bjornsson J, Goronzy J. Platelet-derived growth factor, intimal hyperplasia and ischemic complications in giant-cell arteritis. Arthritis and Rheumatism 2004;41:623-633.

Nordborg E, Nordborg C. Giant Cell Arteritis: epidemiologic clues to its pathogenesis and an update on its treatment. Rheumatology 2003; 42(3): 413-421.

Levine S, Hellman D. Giant Cell Arteritis. Current Opinion in Rheumatology 2002;14: 3-10.

Ferri de Barros J, Soares de Faria MC, Abalhan R, Monteneri V. Doença encéfalo-vascular como 1ª manifestação de Arterite Temporal – relato de 2 casos. Arq Neuropsiquiatria 2001;59:454-456.

Nesher G. Neurologic Manifestations of Giant Cell Arteritis. Clin Exp Rheumatology 2000;18(4):S24-S26.

Marinella M. Patient with Giant Cell Arteritis who presents with fever of unknown origin. Hospital Physician 2000;4: 51-53; 69.

Ray J, Mandarini M, Geerts W. Giant-cell arteritis and cardiovascular disease in older adults. Heart 2005;91:324-328

Additional Files

Published

2009-12-31

How to Cite

1.
Luís P, Pereira J, Carvalho L, Mello e Silva A, Abecasis P. Relapsing strokes as a manifestation of giant-cell arteritis. RPMI [Internet]. 2009 Dec. 31 [cited 2024 May 21];16(4):253-5. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1434