Lorthioir A, Marie I, Tetart F, Bernet J, Lévesque H. [Mesenteric artery involvement in giant cell arteritis: two cases and literature review].
Rev Med Interne 2008;
29:1007-12. [PMID:
18676064 DOI:
10.1016/j.revmed.2008.06.009]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2008] [Revised: 05/26/2008] [Accepted: 06/15/2008] [Indexed: 10/21/2022]
Abstract
INTRODUCTION
Mesenteric involvement has been rarely reported in giant cell arteritis (GCA). Our literature search using the Medline database (1966-2008), reviewing all articles in English and French languages identified only 31 cases of mesenteric ischemia related to GCA. We report two additional cases.
CASE REPORTS
We report two men with GCA. At diagnosis of GCA-associated mesenteric involvement, patients exhibited: fever/fatigue (n=2), abdominal complaints (n=1), clinical signs of GCA (n=1). In both patients, abdominal CT-scan showed circumferential halo around the superior mesenteric artery. At systematic follow-up, CT-scan revealed improvement of mesenteric damage in both patients.
CONCLUSION
Our study indicates that CT-scan is a useful technique in diagnosis of GCA-associated mesenteric involvement. Furthermore, we suggest that CT-scan may also be helpful in both the monitoring and the medical management of GCA-related mesenteric artery involvement.
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