Guillotin V, Mercie P, Duffau P. [Gynecologic vasculitis revealing a giant cell arteritis: A case report and literature review].
Rev Med Interne 2022;
43:181-184. [PMID:
35031140 DOI:
10.1016/j.revmed.2021.12.008]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 10/30/2021] [Accepted: 12/23/2021] [Indexed: 11/26/2022]
Abstract
INTRODUCTION
Genital vasculitis are uncommon. They may be localized or be a manifestation of a systemic vasculitis. We report a patient with a giant cell arteritis (GCA) involving uterine arteries and a literature review on genital vasculitis.
CASE REPORT
A 65-year-old woman was referred to a gynecologist for a cervical intraepithelial neoplasia (CIN) associated with an ovarian mass. An unexpected diagnosis of GCA involving small to medium sized uterine arteries was made through the anatomopathological analysis while the patient was asymptomatic. Two weeks later, she presented typical cranial symptoms of giant cell arteritis (GCA). PET-scanner confirmed the diagnosis of GCA with an involvement of the ascending aorta, and the axillary and the subclavian arteries.
CONCLUSION
Gynecologic vasculitis are rare and usually an asymptomatic manifestations of GCA.
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