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Published on: February 8, 2019
[Pseudo-autoinflammatory attacks of temporal arteritis]
A Grasland1, G Galidie, M Grossin
1Service de médecine interne, APHP, hôpital Louis-Mourier, 178, rue des Renouillers, 92700 Colombes, France. anne.grasland@lmr.aphp.fr
Introduction:
Usually, temporal arteritis progresses as a chronic disease.
Case Report:
The authors report the observation of a 74-year-old woman who presented with two acute flares of temporal arteritis with headache, fever and inflammatory syndrome, which have spontaneously resolved.
Discussion:
The observations of auto-inflammatory attacks of arteritis disease are rare, but maybe underestimated. The pathophysiology remains unclear.
Insights
Temporal arteritis, a chronic condition, can present with rare, acute auto-inflammatory attacks. These spontaneous flares, though uncommon, may be underestimated in clinical practice.
Area of Science:
- Rheumatology
- Internal Medicine
- Vascular Inflammation
Background:
- Temporal arteritis is typically a chronic autoimmune condition.
- Characterized by persistent inflammation of arteries, particularly the temporal artery.
Observation:
- A case study of a 74-year-old woman with temporal arteritis.
- The patient experienced two distinct acute episodes of the disease.
- Symptoms included headache, fever, and systemic inflammatory markers.
Findings:
- These acute episodes of temporal arteritis resolved spontaneously.
- The presentation suggests a potential for auto-inflammatory attacks in temporal arteritis.
- Such attacks are considered rare and possibly underdiagnosed.
Implications:
- Highlights the need to consider acute, self-limiting presentations of temporal arteritis.
- Suggests further research into the pathophysiology of auto-inflammatory mechanisms in vasculitis.
- May impact diagnostic criteria and management strategies for temporal arteritis.
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