Giant Cell Arteritis Associated with Rheumatoid Arthritis Monitored by Magnetic Resonance Angiography

Seishi HARADA; Fumihiro MITSUNOBU; Fumiko KODAMA; Yasuhiro HOSAKI; Takashi MIFUNE; Hirofumi TSUGENO; Makoto OKAMOTO; Masahiro YAMAMURA; Hirofumi MAKING; Yoshiro TANIZAKI

doi:10.2169/internalmedicine.38.675

Seishi HARADA, Fumihiro MITSUNOBU, Fumiko KODAMA, Yasuhiro HOSAKI, Takashi MIFUNE, Hirofumi TSUGENO, Makoto OKAMOTO, Masahiro YAMAMURA, Hirofumi MAKING, Yoshiro TANIZAKI

Author information

Seishi HARADA
The Division of Medicine, Misasa Medical Branch, Okayama University Medical School
Fumihiro MITSUNOBU
The Division of Medicine, Misasa Medical Branch, Okayama University Medical School
Fumiko KODAMA
The Division of Radiology, Nojima Hospital
Yasuhiro HOSAKI
The Division of Medicine, Misasa Medical Branch, Okayama University Medical School
Takashi MIFUNE
The Division of Medicine, Misasa Medical Branch, Okayama University Medical School
Hirofumi TSUGENO
The Division of Medicine, Misasa Medical Branch, Okayama University Medical School
Makoto OKAMOTO
The Division of Medicine, Misasa Medical Branch, Okayama University Medical School
Masahiro YAMAMURA
The Department of Medicine III, Okayama University Medical School
Hirofumi MAKING
The Department of Medicine III, Okayama University Medical School
Yoshiro TANIZAKI
The Division of Medicine, Misasa Medical Branch, Okayama University Medical School

Keywords: temporal arteritis, vasculitis syndrome

JOURNAL FREE ACCESS

1999 Volume 38 Issue 8 Pages 675-678

DOI https://doi.org/10.2169/internalmedicine.38.675

Details

Abstract

A 57-year-old Japanese woman with well controlled rheumatoid arthritis visited our hospital with a severe bitemporal headache and marked fatigue. Based on the classification criteria by the American College of Rheumatology, she was diagnosed as having giant cell arteritis. Magnetic resonance (MR) angiography was performed, from which stenotic changes in the bilateral superficial temporal arteries were strongly suspected. Corticosteroid therapy was quickly started. The patient followed an uneventful course with no complications. Therapeutic effect was confirmed by MR angiographic findings obtained 4 weeks after the initiation of therapy.
(Internal Medicine 38: 675-678, 1999)

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