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Anales de Medicina Interna
Print version ISSN 0212-7199
Abstract
ROSSELLO AUBACH, L. L. et al. Atypical presentation of a clinical case of giant cell arteritis. An. Med. Interna (Madrid) [online]. 2006, vol.23, n.6, pp.282-284. ISSN 0212-7199.
We present a very unusual clinical case of giant cell arteritis with uterus involvement, in a women of 66 years old, that began clinical features of pain and functional limitation of shoulders and hip 3 mouth before been operated of uterus prolapse with hysterectomy. Biopsy of uterus found affected arterial vesels with wall sclerosis and granulomatous inflamation with giant cells, without necrosis, involving media and perivascular portions suggesting giant cell arteritis. In a previous reports review, we only found ten similar clinical cases. In that cases, clinical features were no suggestif of the disease. Althougt the well known tendency of arteritis to involve some specific vascular areas, the case we present is an example of the systemic course of the disease and his dificulty to diagnose.
Keywords : Giant cell arteritis; Uterus; Systemic arteritis.