Giant cell arteritis: a diagnostic challenge in an older adult
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Geriatrics, Gerontology and Aging (Online) |
Texto Completo: | https://ggaging.com/details/1610 |
Resumo: | <p>Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory process results in systemic, ophthalmic, and neurological lesions. It is difficult to diagnose in older adults and may present as a medical emergency. Here, we report the case of an 83-year-old woman who presented with bitemporal headache, jaw claudication, glossodynia, failure to thrive, and amaurosis fugax. The findings supported the hypothesis of giant cell arteritis. Despite receiving treatment, the patient died of an acute myocardial infarction. Headache in older adults raises the possibility of giant cell arteritis, especially when combined with an ophthalmic emergency. Many symptoms indicate the condition, but the diagnosis may be challenging, especially for the generalist physician.</p> |
id |
SBGG_3b6973897b93a4c5a74ba6ef6ede18b0 |
---|---|
oai_identifier_str |
oai:ggaging.com:1610 |
network_acronym_str |
SBGG |
network_name_str |
Geriatrics, Gerontology and Aging (Online) |
repository_id_str |
|
spelling |
Giant cell arteritis: a diagnostic challenge in an older adultgiant cell arteritis frail older adults vasculitis.<p>Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory process results in systemic, ophthalmic, and neurological lesions. It is difficult to diagnose in older adults and may present as a medical emergency. Here, we report the case of an 83-year-old woman who presented with bitemporal headache, jaw claudication, glossodynia, failure to thrive, and amaurosis fugax. The findings supported the hypothesis of giant cell arteritis. Despite receiving treatment, the patient died of an acute myocardial infarction. Headache in older adults raises the possibility of giant cell arteritis, especially when combined with an ophthalmic emergency. Many symptoms indicate the condition, but the diagnosis may be challenging, especially for the generalist physician.</p>Sociedade Brasileira de Geriatria e Gerontologia2020-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttps://ggaging.com/details/1610Geriatrics, Gerontology and Aging v.14 n.3 2020reponame:Geriatrics, Gerontology and Aging (Online)instname:Sociedade Brasileira de Geriatria e Gerontologiainstacron:SBGG10.5327/Z2447-212320202000014info:eu-repo/semantics/openAccess Mello,<p>Jorge Luiz de Carvalho Narita,Raul Sakuma Araujo,Frederico Palumbo Souza,Diba Maria Sebba Tosta de Galhardo</p>,Vitor Angelo Carluccioeng2020-07-01T00:00:00Zoai:ggaging.com:1610Revistahttp://sbgg.org.br/publicacoes-cientificas/revista-geriatria-gerontologia/ONGhttps://old.scielo.br/oai/scielo-oai.phpexecutiveditors@ggaging.com||nacional@sbgg.org.br2447-21232447-2115opendoar:2020-07-01T00:00Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologiafalse |
dc.title.none.fl_str_mv |
Giant cell arteritis: a diagnostic challenge in an older adult |
title |
Giant cell arteritis: a diagnostic challenge in an older adult |
spellingShingle |
Giant cell arteritis: a diagnostic challenge in an older adult Mello,<p>Jorge Luiz de Carvalho giant cell arteritis frail older adults vasculitis. |
title_short |
Giant cell arteritis: a diagnostic challenge in an older adult |
title_full |
Giant cell arteritis: a diagnostic challenge in an older adult |
title_fullStr |
Giant cell arteritis: a diagnostic challenge in an older adult |
title_full_unstemmed |
Giant cell arteritis: a diagnostic challenge in an older adult |
title_sort |
Giant cell arteritis: a diagnostic challenge in an older adult |
author |
Mello,<p>Jorge Luiz de Carvalho |
author_facet |
Mello,<p>Jorge Luiz de Carvalho Narita,Raul Sakuma Araujo,Frederico Palumbo Souza,Diba Maria Sebba Tosta de Galhardo</p>,Vitor Angelo Carluccio |
author_role |
author |
author2 |
Narita,Raul Sakuma Araujo,Frederico Palumbo Souza,Diba Maria Sebba Tosta de Galhardo</p>,Vitor Angelo Carluccio |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Mello,<p>Jorge Luiz de Carvalho Narita,Raul Sakuma Araujo,Frederico Palumbo Souza,Diba Maria Sebba Tosta de Galhardo</p>,Vitor Angelo Carluccio |
dc.subject.por.fl_str_mv |
giant cell arteritis frail older adults vasculitis. |
topic |
giant cell arteritis frail older adults vasculitis. |
description |
<p>Giant cell arteritis is a large-vessel vasculitis usually seen in older adults. The inflammatory process results in systemic, ophthalmic, and neurological lesions. It is difficult to diagnose in older adults and may present as a medical emergency. Here, we report the case of an 83-year-old woman who presented with bitemporal headache, jaw claudication, glossodynia, failure to thrive, and amaurosis fugax. The findings supported the hypothesis of giant cell arteritis. Despite receiving treatment, the patient died of an acute myocardial infarction. Headache in older adults raises the possibility of giant cell arteritis, especially when combined with an ophthalmic emergency. Many symptoms indicate the condition, but the diagnosis may be challenging, especially for the generalist physician.</p> |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ggaging.com/details/1610 |
url |
https://ggaging.com/details/1610 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5327/Z2447-212320202000014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Geriatria e Gerontologia |
dc.source.none.fl_str_mv |
Geriatrics, Gerontology and Aging v.14 n.3 2020 reponame:Geriatrics, Gerontology and Aging (Online) instname:Sociedade Brasileira de Geriatria e Gerontologia instacron:SBGG |
instname_str |
Sociedade Brasileira de Geriatria e Gerontologia |
instacron_str |
SBGG |
institution |
SBGG |
reponame_str |
Geriatrics, Gerontology and Aging (Online) |
collection |
Geriatrics, Gerontology and Aging (Online) |
repository.name.fl_str_mv |
Geriatrics, Gerontology and Aging (Online) - Sociedade Brasileira de Geriatria e Gerontologia |
repository.mail.fl_str_mv |
executiveditors@ggaging.com||nacional@sbgg.org.br |
_version_ |
1797174502529957888 |