|previous article in this issue||next article in this issue|
Document Details :
Title: Een 66-jarige man met droge hoest, anorexie en hoofdpijn
Author(s): MASFRANCX D, VOET A, BLOCKMANS D, DE MUNTER P
Journal: Tijdschrift voor Geneeskunde
Volume: 65 Issue: 9 Date: 2009
A 66-year-old man with dry cough, anorexia and headache
Giant cell arteritis is an immune-mediated granulomatous inflammation of the medium-sized and large blood vessels. It usually occurs in Caucasians aged over 50 years. The most common clinical manifestations are headache, jaw claudication and vision loss. Polymyalgia rheumatica is also related to giant cell arteritis. It is less-known that up to 36% of the patients have respiratory tract symptoms.
We present the history of a patient with dry cough, anorexia and headache as the dominating symptoms. Despite the presence of a painfull temporal artery, the biopsy was negative. PET scan was compatible with the diagnosis of giant cell arteritis.