Eosinophilic angiitis presenting with a true, fusiform, temporal artery aneurysm
Megan MacDiarmid1, Dmitri Nepogodiev2, Alok Tiwari2
1Department of Rheumatology Queen Elizabeth Hospital Birmingham Mendelsohn Way, Edgbaston Birmingham B15 2TH UK.
Clinical Case Reports
|June 8, 2017
Summary
Temporal artery aneurysm, a rare cause of swelling without trauma, necessitates considering vasculitis beyond giant cell arteritis. Further assessment of medium-sized arteries is crucial for accurate diagnosis.
Area of Science:
- Vascular Medicine
- Rheumatology
- Pathology
Background:
- Temporal artery swelling typically presents without preceding trauma.
- Giant cell arteritis is a common cause of temporal artery inflammation.
Observation:
- Aneurysm of the temporal artery can occur without trauma.
- Other forms of vasculitis may mimic giant cell arteritis.
Findings:
- Eosinophilic granulomatosis with polyangiitis is a potential differential diagnosis.
- Systemic vasculitis affecting medium-sized arteries should be investigated.
Implications:
- Broadening the differential diagnosis for temporal artery swelling is important.
- Comprehensive vascular assessment aids in identifying rare causes of arteritis.
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