RESUMEN

Two male patients aged above 70 years were investigated for chronic non-specific symptoms and evidence of significant systemic inflammation, but without classic 'cranial symptoms' of giant cell arteritis (GCA). Each patient had multiple non-diagnostic investigations, but finally extensive large-vessel vasculitis was revealed by whole body positron emission tomography/CT imaging. Both cases were confirmed to have GCA on temporal artery biopsy and responded well to initial high-dose prednisolone therapy. The patients successfully completed 12 months of steroid-sparing therapy with tocilizumab and achieved remission of their condition.

Asunto(s)

Arteritis de Células Gigantes , Humanos , Masculino , Anciano , Arteritis de Células Gigantes/diagnóstico por imagen , Arteritis de Células Gigantes/tratamiento farmacológico , Fluorodesoxiglucosa F18/uso terapéutico , Tomografía de Emisión de Positrones , Inflamación , Prednisolona/uso terapéutico , Tomografía Computarizada por Tomografía de Emisión de Positrones