Large vessels vasculitis a heterogeneous group of chronic inflammation disorders affecting the aorta and its main branches. the two main forms are takayasu’s arteritis and Giant cell arteritis. in recent years, this distinction does not seem so obvious due to many overlapping in pathogenesis, clinical and therapeutic management. We present a case of large vessel vasculitis in a 57-year-old woman with hypertension and long history of fibromyalgia syndrome. She was referred to our Unit for fever and polyarthralgia. the microbiological examinations performed were all negative, and the autoanti-body pattern was also negative. abdominal computer tomography showed abdominal aortic thickening with progressive contrast enhancement. Fluorodeoxyglucose positron emission tomography showed significant hypermetabolism of common carotid arteries, succlavie, aortic arch and abdominal aorta. it was treated with a methylprednisolone 1 mg/kg body weight for 7 days with remission of symptoms. Fluorodeoxyglucose positron emission tomography was repeated after 3 months of low dose steroid therapy and has shown a reduction in the capture of fluorodeoxyglucose. Our case highlights the importance of good collection of clinical history and imaging in the diagnosis of large vessel vasculitis. in particular fluorodeoxyglucose positron emission tomography is useful for diagnosis and to evaluate the response to therapy. A long history of fibromyalgia should not exclude suspect of these conditions.

Guerino RECINELLA, G.G. (2019). A strange case of fever and polyarthralgia in patient with fibromyalgia syndrome: a case report of large vessel vasculitis. GAZZETTA MEDICA ITALIANA. ARCHIVIO PER LE SCIENZE MEDICHE, 178(9), 706-710 [10.23736/S0393-3660.18.03933-5].

A strange case of fever and polyarthralgia in patient with fibromyalgia syndrome: a case report of large vessel vasculitis

Guerino RECINELLA
Writing – Original Draft Preparation
;
Giordano GIANOTTI
Writing – Original Draft Preparation
;
Giampaolo BIANCHI
Writing – Original Draft Preparation
2019

Abstract

Large vessels vasculitis a heterogeneous group of chronic inflammation disorders affecting the aorta and its main branches. the two main forms are takayasu’s arteritis and Giant cell arteritis. in recent years, this distinction does not seem so obvious due to many overlapping in pathogenesis, clinical and therapeutic management. We present a case of large vessel vasculitis in a 57-year-old woman with hypertension and long history of fibromyalgia syndrome. She was referred to our Unit for fever and polyarthralgia. the microbiological examinations performed were all negative, and the autoanti-body pattern was also negative. abdominal computer tomography showed abdominal aortic thickening with progressive contrast enhancement. Fluorodeoxyglucose positron emission tomography showed significant hypermetabolism of common carotid arteries, succlavie, aortic arch and abdominal aorta. it was treated with a methylprednisolone 1 mg/kg body weight for 7 days with remission of symptoms. Fluorodeoxyglucose positron emission tomography was repeated after 3 months of low dose steroid therapy and has shown a reduction in the capture of fluorodeoxyglucose. Our case highlights the importance of good collection of clinical history and imaging in the diagnosis of large vessel vasculitis. in particular fluorodeoxyglucose positron emission tomography is useful for diagnosis and to evaluate the response to therapy. A long history of fibromyalgia should not exclude suspect of these conditions.
2019
Guerino RECINELLA, G.G. (2019). A strange case of fever and polyarthralgia in patient with fibromyalgia syndrome: a case report of large vessel vasculitis. GAZZETTA MEDICA ITALIANA. ARCHIVIO PER LE SCIENZE MEDICHE, 178(9), 706-710 [10.23736/S0393-3660.18.03933-5].
Guerino RECINELLA, Giordano GIANOTTI, Giampaolo BIANCHI
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/764496
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