• Rev Med Interne · Aug 2019

    Case Reports

    [Polyarteritis nodosa, an alternative diagnosis of giant cell arteritis in cases of temporal arteritis].

    • G Martin de Frémont, S Gimenez de Mestral, V Jubault, M Chauchard, A Mekinian, and O Fain.
    • Service de médecine interne and Inflammation-Immunopathology-Biotherapy Department (DHU i2B), hôpital Saint Antoine, Sorbonne université, AP-HP, 75012 Paris, France.
    • Rev Med Interne. 2019 Aug 1; 40 (8): 533-535.

    IntroductionWeight loss, myalgias, neurologic manifestations and arterial hypertension are common features of polyarteritis nodosa (PAN) at diagnosis. Temporal arteritis is a rarer manifestation of PAN, more suggestive of giant cell arteritis (GCA).CaseWe report the case of a 77-year-old woman who presented with fatigue, weight loss, fever, neck pain, jaw claudication and cough, diagnosed with giant cell arteritis. Diagnosis was reconsidered in favour of a medium and small-sized vessels necrotizing vasculitis corresponding to PAN because of steroid dependence, mononeuritis and suggestive histological features.ConclusionAlthough temporal arteritis is suggestive of GCA, other causes of temporal arteritis can be identified with temporal artery biopsy.Copyright © 2019 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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