The erythrocyte sedimentation rate (ESR) is used to differentiate temporal arteritis from other forms of headache in the elderly. Though temporal arteritis can occur with a normal ESR, this is not generally appreciated in primary care. The case reported here is a 74-year-old woman with biopsy-proven temporal arteritis; her ESR was 22 mm/hr. Of note, her hematocrit was more than 40 percent, a co...

Polymyalgia rheumatica (PMR) is an age-related chronic inflammatory disease with rheumatic features at the fore. In addition to high-grade systemic inflammation, it characterized by typical “polymyalgic” musculoskeletal symptoms, including diffuse and severe pain prolonged morning stiffness of shoulder girdle, pelvic neck. PMR a member so-called giant cell arteritis complex; however, in spite m...

We presented a 38-year-old woman suffering from acute cerebral infarction due to arteritis limited to bilateral internal carotid arteries without a condition of giant cell arteritis or granulomatosis with polyangitis. Our case is unprecedented and characterized by a young woman with wall enhancement in the internal carotid arteries on contrast-enhanced magnetic resonance imaging (MRI), therapeu...

Takayasu arteritis is a relatively rare inflammatory arteritis that can be associated with ocular manifestations. We report four patients with proven Takayasu arteritis; two patients manifested hypoperfusive ocular manifestations of ocular ischemic syndrome and anterior ischemic optic neuropathy whilst two others had exudative retinal detachment and papilledema as a result of severe hypertensio...

An autopsy case of an elderly man with Takayasu's arteritis and atherosclerosis is presented. Ischemic signs and symptoms including anginal attack were aggravated with activity of arteritis despite administration of prednisolone throughout the entire course. The autopsy revealed severe atherosclerosis over the aorta and its branches, and arteritis in the fibrotic stage in localized area. Vessel...

Background Biological drugs target immune or genetic mediators and are important treatment alternatives in rheumatology, especially patients with inadequate response to the conventional treatment. Hepatitis B reactivation may emerge during use of these agents. There is a higher risk rituximab (RTX) therapy. The frequency hepatitis non-RTX biologics unclear. Objectives seroprevalence were evalua...

BACKGROUND Takayasu arteritis is an inflammatory disease of large-diameter arteries. Aorta and its branches are most frequently affected. Takayasu arteritis occurs mainly in young women and, if left untreated, leads to fatal complications. Digital subtraction angiography (DSA) is considered the gold standard in imaging of Takayasu arteritis. CASE REPORT A thirty-five-year-old woman was admitt...

BACKGROUND AND PURPOSE Systemic giant cell arteritis causing cerebellar infarction due to intracranial arteritis of the anterior inferior cerebellar artery has not been previously reported. We report this infrequent occurrence and discuss the differential diagnosis. CASE DESCRIPTION An 85-year-old woman was admitted with a 2-week history of episodic ataxia, unilateral headaches, and vomiting....