• Internal medicine · Aug 2024

    Self-limited giant cell arteritis: The dilemma associated with its diagnosis and treatment.

    • Koki Hirose, Yohei Kanzawa, Nobuya Sano, Keishiro Tsuruta, Shimpei Mizuki, Takahiro Nakajima, Naoto Ishimaru, and Saori Kinami.
    • Department of General Internal Medicine, Akashi Medical Center, Japan.
    • Intern. Med. 2024 Aug 10.

    AbstractGiant cell arteritis (GCA) can result in visual loss and other sequelae. An 81-year-old man presented with a one-week history of fever. He had bilateral temporal headache, jaw claudication, tenderness of the temporal arteries and a recent skin rash. A temporal artery biopsy showed typical GCA, but the symptoms were self-limiting. We continued close observation, without administering prednisolone treatment. Five months later, the symptoms did not recur, and prednisolone again was not administered. Our patient presented with an atypical course of GCA that created a clinical dilemma. The final diagnosis was self-limiting GCA.

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