Misdiagnosis Analysis of Atypical Giant Cell Arteritis
WANG Li
WANG Xiao-ping
LI Ting-yi
LI Wen-hui
SHENG Fei
HU Song
SUN Xia
Abstract：Objective To investigate clinical features and misdiagnosed causes of giant cell arteritis ( GCA) . Meth-ods Clinical data of 2 patients with atypical GCA was respectively analyzed, and related documents were also reviewed. Re-sults The initial symptoms of 2 patients were headache, intermittent blurred vision and lacrimation. Clinical symptoms of the 2 patients were mildly relieved after treatments for occipital neuralgia and migraine respectively, but the headache severely ag-gravated. The abnormal erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were found. Color Doppler ultra-sound for bilateral temporal arteries showed thickening vessel wall of temporal arteries and narrow lumens, and then GCA was confirmed. Clinical symptoms of the 2 patients were relieved after treatment by Prednisone. Prednisone maintenane therapy was keeping, and dosage was decreased gradually. Recurrence did not find by 2 years of follow-up. Conclusion Clinical manifestations of GCA are atypical and insidious, So it is easily misdiagnosed. The key points of decreasing misdiagnosis or missed diagnosis for GCA are carefully asking the history and physical examination, performing examinations such as ESR, CRP and color ultrasound timely.
Keywords：Giant cell arteritisMisdiagnosisMigraine disordersNeuralgiaPrednisone
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 4-6 )