Elsheikh Mahgoub, Abdullahi and Tessema, Sophia and Nakhleh, Rasha (2022) Normal ESR, CRP and Platelet Count in Giant Cell Arteritis and Polymyalgia Rheumatica: A Diagnostic Conundrum. European Journal of Case Reports in Internal Medicine, 9 (2). pp. 1-3. ISSN 2284-2594
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Abstract
Giant cell arteritis (GCA) and polymyalgia rheumatica (PMR) are both rheumatological diseases of the elderly with a strong association with each other and which rarely present with normal inflammatory markers. Here we present the case of a 61-year-old Caucasian woman who had typical symptoms of both diseases. At the time of presentation, her blood work showed normal inflammatory markers, but because of the high clinical suspicion for GCA, a temporal artery biopsy was done which was positive for giant cells and disruption of the internal elastic lamina. Our patient responded very well to treatment with oral steroids and steroid-sparing medication and was able to return to her normal life without experiencing any complications of the disease. By sharing our case, we aim to increase the awareness of medical personnel regarding the importance of focusing on the clinical presentation as well as the laboratory and pathological aspects of diagnosing GCA and PMR.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Giant cell arteritis, polymyalgia rheumatica, inflammatory markers, ESR, CRP, vasculitis |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) |
| Depositing User: | Marina Spanti |
| Date Deposited: | 14 Apr 2022 12:31 |
| Last Modified: | 14 Apr 2022 12:31 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/21793 |
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