A clinical case of early diagnosis of giant cell arteritis (Horton’s disease) in the practice of a general practitioner

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Аннотация

Giant cell arteritis (GCA) is a systemic vasculitis, the morphological feature of which is the frequent presence of giant multinucleated cells in the wall of the affected vessels. Although awareness of GCA has increased in recent years, its varied course still leads to diagnostic uncertainty. A high index of suspicion is a critical factor for early diagnosis. Clear diagnostic criteria, accessible specialist consultations and informative management recommendations are essential for rapid diagnosis and appropriate initiation of treatment. Timely administration of drug therapy helps prevent complications. Our article describes a clinical case of GCA in a 68-year-old patient. The interest of the clinical case is due, first of all, to early diagnosis, which made it possible to prescribe pathogenetic therapy in a short time, and, ultimately, to avoid the formidable complications characteristic of giant cell arteritis.

Толық мәтін

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Авторлар туралы

Amina Alieva

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Хат алмасуға жауапты Автор.
Email: amisha_alieva@mail.ru
ORCID iD: 0000-0001-5416-8579

PhD in Medical Sciences, associate professor of the Department of hospital therapy named after Academician G.I. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Ресей, Moscow

Irina Baykova

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Email: amisha_alieva@mail.ru
ORCID iD: 0000-0003-0886-6290

PhD in Medical Sciences, associate professor of the Department of hospital therapy named after Academician G.I. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Ресей, Moscow

Natalya Teplova

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Email: amisha_alieva@mail.ru
ORCID iD: 0000-0002-7181-4680

MD, professor, head of the Department of clinical pharmacology of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Ресей, Moscow

Elena Reznik

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Email: amisha_alieva@mail.ru
ORCID iD: 0000-0001-7479-418X

MD, associate professor, head of the Department of propaedeutics of internal diseases of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Ресей, Moscow

Irina Kotikova

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Email: kotikova.ia@mail.ru
ORCID iD: 0000-0001-5352-8499
SPIN-код: 1423-7300

student of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Ресей, Moscow

Olga Nikitina

Scientific Clinical Center No. 2 of Academician B.V. Petrovsky Russian Scientific Center for Surgery

Email: amisha_alieva@mail.ru
ORCID iD: 0009-0005-8436-1157

cardiologist, therapist at Scientific Clinical Center No. 2 of Academician B.V. Petrovsky Russian Scientific Center for Surgery

Ресей, Moscow

Tatyana Shabatina

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Email: amisha_alieva@mail.ru
ORCID iD: 0009-0008-6024-680X

clinical resident of the Department of hospital therapy named after academician G.I. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Ресей, Moscow

Igor Nikitin

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Email: amisha_alieva@mail.ru
ORCID iD: 0000-0003-1699-0881

MD, professor, head of the Department of hospital therapy named after academician G.I. Storozhakov of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Ресей, Moscow

Әдебиет тізімі

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  7. Hunder G., Bloch D., Michel B. et al. The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis. Arthritis Rheum. 1990; 33(8): 1122–28. https://dx.doi.org/10.1002/art.1780330810.
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