A clinical case of early diagnosis of giant cell arteritis (Horton’s disease) in the practice of a general practitioner
- Autores: Alieva A.M.1, Baykova I.E.1, Teplova N.V.1, Reznik E.V.1, Kotikova I.A.1, Nikitina O.S.2, Shabatina T.M.1, Nikitin I.G.1
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Afiliações:
- N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
- Scientific Clinical Center No. 2 of Academician B.V. Petrovsky Russian Scientific Center for Surgery
- Edição: Volume 9, Nº 10 (2023)
- Páginas: 132-138
- Seção: CL INICAL CASE
- URL: https://journals.eco-vector.com/2412-4036/article/view/626324
- DOI: https://doi.org/10.18565/therapy.2023.10.132–138
- ID: 626324
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Resumo
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.
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Sobre autores
Amina Alieva
N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
Autor responsável pela correspondência
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
Rússia, MoscowIrina 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
Rússia, MoscowNatalya 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
Rússia, MoscowElena 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
Rússia, MoscowIrina 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
Código SPIN: 1423-7300
student of the Faculty of general medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia
Rússia, MoscowOlga 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
Rússia, MoscowTatyana 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
Rússia, MoscowIgor 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
Rússia, MoscowBibliografia
- [Kraemer M., Becker J., Bley T. et al. Diagnostics and treatment of giant cell arteritis. Nervenarzt. 2022; 93(8): 819–27 (In German)]. https://dx.doi.org/10.1007/s00115-021-01216-8.
- Гуляев С.В., Стрижаков Л.А., Новиков П.И. с соавт. Гигантоклеточный артериит: генетические и эпигенетические аспекты. Терапевтический архив. 2017; 89(8): 72–76. [Guliaev S.V., Strizhakov L.A., Novikov P.I. et al. Giant cell arteritis: Genetic and epigenetic aspects. Terapevticheskiy arkhiv = Therapeutic Archive. 2017; 89(8): 72–76 (In Russ.)]. https://dx.doi.org/10.17116/terarkh201789872-76. EDN: ZFDKWJ.
- Бекетова Т.В., Зеленов В.А., Зотиков А.Е. Современные возможности визуализации сосудистого повреждения при системных васкулитах крупных сосудов. Научно-практическая ревматология. 2022; 60(1): 91–101. [Beketova T.V., Zelenov V.А., Zotikov A.E. Current imaging techniques in large vessel vasculitis. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2022; 60(1): 91–101 (In Russ.)]. https://dx.doi.org/10.47360/1995-4484-2022-91-101. EDN: MSQGYE.
- Bilton E., Mollan S. Giant cell arteritis: Reviewing the advancing diagnostics and management. Eye (Lond). 2023; 37(12): 2365–73. https://dx.doi.org/10.1038/s41433-023-02433-y.
- Winkler A., True D. Giant cell arteritis: 2018 review. Mo Med. 2018; 115(5): 468–70.
- Lyons H., Quick V., Sinclair A. et al. A new era for giant cell arteritis. Eye (Lond). 2020; 34(6): 1013–26. https://dx.doi.org/10.1038/s41433-019-0608-7.
- 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.
- Awisat A., Keret S., Silawy A. et al. Giant cell arteritis: State of the art in diagnosis, monitoring, and treatment. Rambam Maimonides Med J. 2023; 14(2): e0009. https://dx.doi.org/10.5041/RMMJ.10496.
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