» Articles » PMID: 34728515

Giant Cell Arteritis Characterised by Sore Throat

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2021 Nov 3
PMID 34728515
Authors
Affiliations
Soon will be listed here.
Abstract

Giant cell arteritis is a devastating condition that can lead to permanent vision loss. Early diagnosis is vital to initiate corticosteroid treatment before irreversible visual symptoms develop. This case study examines an 81-year-old woman with a history of polymyalgia rheumatica who initially presented with sore throat and headache. She was ultimately diagnosed with giant cell arteritis. However, her diagnosis was delayed by multiple emergency and outpatient providers who failed to evaluate her for giant cell arteritis. Her story reflects the importance of assessing polymyalgia rheumatica patients for giant cell arteritis even when presenting with more unusual symptoms, such as sore throat.

References
1.
Gonzalez-Gay M, Garcia-Porrua C, Miranda-Filloy J, Martin J . Giant cell arteritis and polymyalgia rheumatica: pathophysiology and management. Drugs Aging. 2006; 23(8):627-49. DOI: 10.2165/00002512-200623080-00002. View

2.
Ling J, Hashemi N, Lee A . Throat pain as a presenting symptom of giant cell arteritis. J Neuroophthalmol. 2012; 32(4):384. DOI: 10.1097/WNO.0b013e318270ffaf. View

3.
Samson M, Greigert H, Ghesquiere T, Bonnotte B . [Treatment of giant cell arteritis]. Presse Med. 2019; 48(9):968-979. DOI: 10.1016/j.lpm.2019.06.002. View

4.
Les I, Pijoan J, Rodriguez-Alvarez R, Ruiz-Irastorza G, Martinez-Berriotxoa A . Effectiveness and safety of medium-dose prednisone in giant cell arteritis: a retrospective cohort study of 103 patients. Clin Exp Rheumatol. 2015; 33(2 Suppl 89):S-90-7. View

5.
Gonzalez-Gay M, Garcia-Porrua C . Carotid tenderness: an ominous sign of giant cell arteritis?. Scand J Rheumatol. 1998; 27(2):154-6. DOI: 10.1080/030097498441065. View