Giant cell arteritis: An interesting case presentation

J R Coll Physicians Edinb. 2023 Sep;53(3):204-206. doi: 10.1177/14782715231184518. Epub 2023 Jul 13.

Abstract

Giant cell arteritis (GCA), otherwise known as temporal arteritis, is a form of large vessel vasculitis. Patients may present with a variety of symptoms but the most common include headaches, jaw claudication, fatigue, night sweats and visual disturbance. Diagnosis is made using a combination of temporal artery ultrasound, clinical findings and blood tests and the diagnostic gold standard of a temporal artery biopsy and is sometimes needed for histopathological confirmation. Syphilis is a sexually transmitted disease caused by the spirochaete Treponema pallidum, which can infect the central nervous system and cause neurosyphilis, which can mimic GCA.

Keywords: giant cell arteritis; large vessel vasculitis; syphilis; temporal arteritis.

MeSH terms

  • Giant Cell Arteritis* / complications
  • Giant Cell Arteritis* / diagnosis
  • Humans
  • Temporal Arteries / diagnostic imaging
  • Temporal Arteries / pathology