[Gynecologic vasculitis revealing a giant cell arteritis: A case report and literature review]
V Guillotin1, P Mercie1, P Duffau2
1Service de médecine interne, hôpital Saint-André, centre hospitalier universitaire de Bordeaux, place Amélie Raba Léon, 33000 Bordeaux, France; Université de Bordeaux, 146, rue Léo-Saignat, 33076 Bordeaux, France.
Introduction:
Genital vasculitis are uncommon. They may be localized or be a manifestation of a systemic vasculitis. We report a patient with a giant cell arteritis (GCA) involving uterine arteries and a literature review on genital vasculitis.
Case Report:
A 65-year-old woman was referred to a gynecologist for a cervical intraepithelial neoplasia (CIN) associated with an ovarian mass. An unexpected diagnosis of GCA involving small to medium sized uterine arteries was made through the anatomopathological analysis while the patient was asymptomatic. Two weeks later, she presented typical cranial symptoms of giant cell arteritis (GCA). PET-scanner confirmed the diagnosis of GCA with an involvement of the ascending aorta, and the axillary and the subclavian arteries.
Conclusion:
Gynecologic vasculitis are rare and usually an asymptomatic manifestations of GCA.
