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: Goltirn Vurisar
Country: Guatemala
Language: English (Spanish)
Genre: Environment
Published (Last): 26 April 2018
Pages: 288
PDF File Size: 1.8 Mb
ePub File Size: 2.81 Mb
ISBN: 289-4-41073-451-8
Downloads: 80170
Price: Free* [*Free Regsitration Required]
Uploader: Fenrirr

Takayasu arteritis[5] strokeprimary amyloidosis [6]. Mean values of parameters such as lumen systolic diameter and maximum systolic velocity, measured at three anatomical points as described in Materials and methods, were not significantly different between patients with suspected GCA and age- and gender-matched controls data not shown.

The history disclosed temporal headache and the examination showed inflammation in temporal artery. The therapeutic impact of temporal artery biopsy.

In case of bilateral halo signs, treatment should be initiated without proceeding with biopsy. The intense headache, temporal tumefaction, mandibular claudication and visual loss are the main signals and symptoms.

Brain vascular disease presenting as first manifestation of temporal arteritis: report of two cases

Bhatti MT, Tabandeh H. Please review our privacy policy. The Cochrane Database of Systematic Reviews wrterite The value of the temporal artery biopsy. Some report pain in any part of the head or diffusely as in the muscular contraction headache 9. She was getting better when severe visual loss occurred and the family decided to get a second opinion. 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.

Journal List Arthritis Res Ther v.

Giant-cell arteritis

Accumulated evidence suggests that of greater sensitivity than clinical evaluation of patients are findings demonstrated by CDS of the tempoarl arteries [ 9 – 111819 ]; CDS is tem;oral additive value in assessing the peripheral involvement of the disease [ 20 ] or in diagnosing concomitant GCA in patients with polymyalgia rheumatica [ 21 ].


In this case, the visual loss for anterior ischemic optic neuropathy may be the first manifestation. D ICD – The American College of Rheumatology criteria for the classification of giant cell arteritis. However within the normality range the ESR doesn’t prevent the diagnosis. This group is composed by patients with any of the criteria of major specificity or with anterior ischemic optic neuropathy.

The pulse is commonly diminished or absent in the advanced phases. InPaulley e Hughes described many forms of the disease. These studies suggested that the presence of the halo sign that is, a dark area around the vessel lumen probably due to arterial wall edema is highly specific for GCA.

What Is Giant Cell Arteritis? – American Academy of Ophthalmology

Open in a separate window. The differential diagnosis includes dental problems, trigeminal neuralgia, sinusitis, otitis, blood vessels or ocular muscles alterations, among many other causes of headache Later te,poral include cataract, secondary glaucoma, rubeosis iridis and nonreactive pupils 8, 9.

Based on symptoms and blood tests, confirmed by biopsy of the temporal artery [4].

Some years after, Horton and collaborators made the clinical and histopathological correlations of the disease and named it temporal arteritis. Briefly, the principles of the method were as follows: The reactive protein C is also elevated in the GCA. arerite

The disease’s clinical manifestations start after 50 years old, and it’s more frequent near 72 years old. National Center for Biotechnology InformationU. However, other large vessels such as the aorta can be involved. The main objective of the corticotherapy is the prevention of blindness, mainly when one of the eyes has already been affected, or of other severe complications of the disease. Introduction Giant cell arteritis GCAor temporal arteritis, is the most common form of systemic inflammatory vasculitis in adults.

Temporal artery biopsy was not performed in control subjects. Articles Cases Courses Quiz. Slight normocytic normochromic anemia; discreet leucocytosis; liver function abnormalities, more commonly discreet increases of the of alkaline phosphatase and transaminases; elevation of the plasma fibrinogen levels; alpha-2 globulin, complement and gamma-globulin and albumin reduction 5.


In the context of temporal arteritis, the peripheral nervous system involvement is not much frequent 3. British Journal of Ophthalmology. Provided that no other diagnosis could be established after a complete medical history, clinical examination, and routine laboratory examinations and chest X-ray, the inclusion criteria included at least one of the following: If both temporal arteries biopsy is negative, other reasons for ESR increase must be researched infectious diseases, neoplasms, diabetes or conjunctive tissue diseases, for example.

The systemic symptoms include fever, adynamia, inapetency, weight loss and unspecific myalgias, mainly in the morning, with rigidity of the neck adterite the musculature of the pelvic and shoulder girdle 8, 9as well as night sudoresis and anorexia 5.

Giant-cell arteritis may present with atypical te,poral overlapping features. Longitudinal view of the perfused lumen in colour arterige sonography; tsmporal bright area around the lumen represents the arterial wall plus the temporal fascia right panel. British Journal of Surgery. In the patients with intermediate clinical suspicion we should request temporal artery biopsy and ESR.

Stenosis was considered to be present in an area where a blood-flow velocity became at least double compared with the flow velocity recorded in the area right before, b there was local flow turbulence, and c there were low blood-flow velocities at the arterial segment right after. Authors’ contributions M Karahaliou participated in the design of the study, performed CDS, and helped to draft the manuscript.

Retrieved 14 September Clinically, most cases have an insidious beginning, which explains the delay until the diagnosis that many times is observed in this disease 5.