Arteritis de células gigantes: compromiso extenso de la aorta y grandes ramas demostrado por tomografía por emisión de positrones. Caso clínico

Daniela Grünholz ^[1] ; María Paz Poblete ^[2] ; Loreto Ovalle ^[1] ; Eduardo Wainstein ^[1] ; Gloria Rubio ^[1] ; María Manríquez ^[1] ; Karin Kalbhenn ^[1]
1. [1] Hospital Militar de Santiago
  
  Hospital Militar de Santiago
  
  Santiago, Chile
2. [2] Universidad del Desarrollo
  
  Universidad del Desarrollo
  
  Santiago, Chile
Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 144, Nº. 11, 2016, págs. 1486-1490
Idioma: español
Títulos paralelos:
- Extensive arterial involvement in giant cell arteritis: Report of one case
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Resumen
- Large vessel vasculitis and particularly Temporal Arteritis are systemic diseases that may affect the aorta and its major branches, mainly involving extra cranial branches of the carotid artery. We report a 72-year-old man presenting with weight loss, fever and malaise. Positron emission computed tomography (PET CT) showed an extensive inflammation of the aorta and its major branches. Temporal artery biopsy confirmed the presence of vasculitis with granulomas. Treatment with a high dose of steroids had an excellent clinical response. This case underscores the utility of PET CT in the assessment of this disease.