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Clinical Rheumatology

, Volume 26, Issue 11, pp 1959–1962 | Cite as

A case of silent giant cell arteritis involving the entire aorta, carotid artery and brachial artery screened by integrated PET/CT

  • Chang Mo Kwon
  • Yeong Hoon Hong
  • Kyung Ah Chun
  • Ihn Ho Cho
  • Mi Jin Kim
  • Dong Gu Shin
  • Myung Soo Hyun
  • Young Jo Kim
Case Report

Abstract

We report a case of giant cell arteritis involving the aorta and several large arteries identified by integrated positron emission tomography (PET)/computed tomography (CT) obtained in a patient with a high erythrocyte sedimentation rate (ESR). A 63-year-old man with anemia and a high ESR noted on a regular medical examination was transferred to our department. The patient complained of only a low-grade general weakness for several months; there were no specific symptoms or signs. A PET was recommended. The image showed strong 18F-fluorodeoxyglucose (18F-FDG) uptake at the ascending aorta, aortic arch, descending aorta, thoraco-lumbar aorta, brachial artery, and the carotid artery wall, bilaterally. Suspicious for large-vessel vasculitis, a temporal artery biopsy was performed, which confirmed giant cell arteritis. After treatment with prednisolone, the high ESR and anemia resolved, and 18F-FDG uptake decreased on follow-up integrated PET/CT.

Keywords

Giant cell arteritis Positron-emission tomography 

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Copyright information

© Clinical Rheumatology 2007

Authors and Affiliations

  • Chang Mo Kwon
    • 1
  • Yeong Hoon Hong
    • 1
  • Kyung Ah Chun
    • 2
  • Ihn Ho Cho
    • 2
  • Mi Jin Kim
    • 3
  • Dong Gu Shin
    • 1
  • Myung Soo Hyun
    • 1
  • Young Jo Kim
    • 1
  1. 1.Department of Internal MedicineYeungnam University College of MedicineDaeguSouth Korea
  2. 2.Department of Nuclear MedicineYeungnam University College of MedicineDaeguSouth Korea
  3. 3.Department of PathologyYeungnam University College of MedicineDaeguSouth Korea

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