Giant cell arteritis in a patient with fever of unknown origin

Abstract

Fever of unknown (FUO) origin challenging clinical condition. The causes of FUO are diverse: possible etiologies include infectious diseases, chronic granulomatous diseases, malignity, connective tissue disorders and vasculitis. Giant cell arteritis which affects the aorta and its main branches, contributes up to 17% of cases with fever of unknown origin above age 50. There is increasing evidence for a role for18F-FDG PET/CT in the diagnosis of vasculitis and18F-FDG PET/CT is a useful technic for evaluation of the FUO. Clinical studies show that FDG-PET is a useful diagnostic aid in obscure cases of fever of unknown origin. We report here a case of a 54-year-old woman who present to our clinic with FUO due to giant cell vasculitis.

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Akpinar, T. , Alpaslan, B. , Iliaz, R. , Isik, G. and Saka, B. (2013) Giant cell arteritis in a patient with fever of unknown origin. Open Journal of Internal Medicine, 3, 58-59. doi: 10.4236/ojim.2013.32014.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Gaeta, G.B., Fusco, F.M. and Nardiello, S. (2006) Fever of unknown origin: A systematic review of the literature for 1995-2004. Nuclear Medicine Communications, 27, 205-211. doi:10.1097/00006231-200603000-00002
[2] Amberger, C.C., Dittmann, H., Overkamp, D., et al. (2005) Large vessel vasculitis as cause of fever of unknown origin (FUO) or systemic inflammation. Diagnosis using 18-F-fluor-2-deoxy-D-glucose positron emission to mography ((18) F-FDG-PET). Zeitschrift für Rheumatologie, 64, 32-39. doi:10.1007/s00393-005-0639-2

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