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Liver scan abnormalities in polymyalgia rheumatica/giant cell arteritis

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Summary

Liver involvement in polymyalgia rheumatica/giant cell arteritis (PMR/GCA) before treatment and during follow-up of up to 3 1/2 years was assessed in 74 patients clinically, with liver function tests, isotope scans and blood flow studies. Twenty-seven patients had elevated alkaline phosphatase levels which fell to normal after 2.6 weeks treatment. Both PMR and GCA patients were affected, the latter more commonly. Isotope scans were abnormal in 7 of 29 patients and remained abnormal on follow-up. The arterial fraction of hepatic flow was significantly reduced in GCA patients in comparison with those having PMR only; values became normal after treatment. These abnormalities may be due to hepatic arteritis.

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References

  1. Hall, G.H., Hargreaves, T. Giant cell arteritis and raised serum alkaline phosphatase levels. Lancet 1972, 2, 48.

    Google Scholar 

  2. Mowat, A.G., Hazleman, B.L. Polymyalgia rheumatica — a clinical study with particular reference to arterial disease. J Rheumatol 1974, 1, 190–202.

    PubMed  Google Scholar 

  3. Malmvall, B.E., Bengtsson, B.A. GCA. Clinical features and involvement of different organs. Scand J Rheumatol 1978, 7, 154–158.

    PubMed  Google Scholar 

  4. Chuang, T-Y., Hunder, G.G., Ilstrup, D.M., Kurland, L.T. Polymyalgia rheumatica. A 10-year epidemiological and clinical study. Ann Intern Med 1982, 97, 672–680.

    PubMed  Google Scholar 

  5. Wadman, B., Werner, I. Observations on temporal arteritis. Acta Med Scand 1972, 192, 377–383.

    PubMed  Google Scholar 

  6. McCormack, L.R., Astarita, R.W., Foroozan, P. Liver involvement in giant cell arteritis. Am J Diag Dis 1978, 23 (suppl), 72s-74s.

    Google Scholar 

  7. Heptinstall, R.H., Porter, K.A., Barkley, H. Giant cell (temporal) arteritis. J Pathol 1954, 57, 507–519.

    Google Scholar 

  8. Ogilvie, A.L., James, P.D., Toghill, P.J. Hepatic involvement in polymyalgia arteritica. J Clin Pathol 1981, 34, 769–772.

    PubMed  Google Scholar 

  9. Long, R., James, O. Polymyalgia rheumatica and liver disease. Lancet 1974, 1, 77–79.

    PubMed  Google Scholar 

  10. Kosolcharoen, P., Magnin, G.E. Liver dysfunction and polymyalgia rheumatica. A case report. J Rheumatol 1976, 3, 50–53.

    PubMed  Google Scholar 

  11. Litwack, K.D., Bohan, A., Silverman, L. Granulomatous liver disease and giant cell arteritis. J Rheumatol 1977, 4, 307–312.

    PubMed  Google Scholar 

  12. Fainaru, M., Friedman, G., Friedman, B. Temporal arteritis in israel. A review of 47 patients. J Rheumatol 1979, 6, 330–335.

    PubMed  Google Scholar 

  13. von Knorring, J., Wasatjerna, C. Liver involvement in polymyalgia rheumatica. Scand J Rheumatol 1976, 5, 197–204.

    PubMed  Google Scholar 

  14. Leong, A.S-Y., Alp, M.H. Hepatocellular disease in giant cell arteritis/polymyalgia rheumatica syndrome. Ann Rheum Dis 1981, 40, 92–95.

    PubMed  Google Scholar 

  15. Robertson, J.C., Batstone, G.F., Loebl, W.Y. Polymyalgia rheumatica and primary biliary cirrhosis. Br Med J 1978, 2, 1128.

    PubMed  Google Scholar 

  16. Hamblin, T.J. Significance of antimitochondrial antibodies. Lancet 1981, 2, 1411–1412.

    Google Scholar 

  17. Sattar, M.A., Cawley, M.I.D., Hamblin, T.J., Robertson, J.C. Polymyalgia rheumatica and antimitochondrial antibodies. Ann Rheum Dis 1984, 43, 264–266.

    PubMed  Google Scholar 

  18. Jones, J.G., Kyle, M.V., Hazleman, B.L., Wraight, E.P. Abnormal radionuclide liver scans in GCA. Ann Rheum Dis 19, 43, 581–582.

  19. Mann, D.C., Toole, J.F. Cranial arteritis with liver involvement. Stroke 1972, 3, 131–134.

    PubMed  Google Scholar 

  20. Ghose, M.K., Shensa, S., Lerler, P.I. Arteritis of the aged (giant cell arteritis) and fever of unexplained origin. Am J Med 1976, 60, 429–436.

    PubMed  Google Scholar 

  21. Jones, J.G., Hazleman, B.L. Prognosis and management of polymyalgia rheumatica. Ann Rheum Dis 1981, 40, 1–5.

    PubMed  Google Scholar 

  22. Wraight, E.P., Barber, R.W., Ritson, A. Relative hepatic arterial and portal flow in liver scintigraphy. Nucl Med Commun 1982, 3, 273–279.

    Google Scholar 

  23. Allison, M.C., Gallacher, P.J. Temporal artery biopsy and corticosteroid treatment. Ann Rheum Dis 1984, 43, 416–417.

    PubMed  Google Scholar 

  24. Lockwood, C.M., Bakes, D., Jones, S., Whitaker, K.B., Moss, D.W., Savage, C.O.S. Association of alkaline phosphatase with an autoantibody recognised by circulating anti-neutrophil antibodies in systemic vasculitis. Lancet 1987, 1, 716–720.

    PubMed  Google Scholar 

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Kyle, V., Wraight, E.P. & Hazleman, B.L. Liver scan abnormalities in polymyalgia rheumatica/giant cell arteritis. Clin Rheumatol 10, 294–297 (1991). https://doi.org/10.1007/BF02208693

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  • DOI: https://doi.org/10.1007/BF02208693

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