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Do We Have a Culprit? An Association of Giant Cell Arteritis with Pulmonary Embolism

2022-01-31Journal article Open access
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dc.contributor.authorMiguel Gonçalves, Carolina
dc.contributor.authorNeves Tavares, Pedro
dc.contributor.authorSaraiva, Fátima
dc.contributor.authorMorais, João
dc.contributor.authorBanza, Maria Jesus
dc.date.accessioned2023-06-23T16:03:54Z
dc.date.available2023-06-23T16:03:54Z
dc.date.issued2022-01-31
dc.description.abstractGiant cell arteritis is the most common type of systemic vasculitis. An increased risk of venous thromboembolism has been described in these patients. We report the case of a 79-year-old woman with a history of polymyalgia rheumatica, who presented with left thoracic pain radiating to the neck and scapula plus temporal headache. She had no changes on physical examination, but work-up tests showed increased D-dimer levels and computed tomography pulmonary angiography revealed signs of a chronic/subacute embolism in the right inferior lobe. Anticoagulation with edoxaban was started after 5 day bridging with enoxaparin. Three weeks after the initial diagnosis the headache still persisted and she developed scalp tenderness. Giant cell arteritis was diagnosed and treated with prednisolone, with complete resolution of symptoms. Extensive diagnostic work-up was performed to identify an alternative cause of pulmonary thromboembolism; however, the investigations were negative. This case supports the hypothesis that this type of vasculitis could be related to the occurrence of pulmonary embolism.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMiguel Gonçalves C, Neves Tavares P, Saraiva F, Morais J, Banza MJ. Do We Have a Culprit? An Association of Giant Cell Arteritis with Pulmonary Embolism. EJCRIM 2022;9 doi:10.12890/2022_003028.pt_PT
dc.identifier.doihttps://doi.org/10.12890/2022_003028pt_PT
dc.identifier.pmc8833303
dc.identifier.pmid35169570
dc.identifier.urihttp://hdl.handle.net/10400.8/8627
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherEuropean Journal of Case Reports in Internal Medicinept_PT
dc.relation.publisherversionhttps://www.ejcrim.com/index.php/EJCRIM/article/view/3028pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectGiant cell arteritispt_PT
dc.subjectPulmonary embolismpt_PT
dc.titleDo We Have a Culprit? An Association of Giant Cell Arteritis with Pulmonary Embolismpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleEuropean Journal of Case Reports in Internal Medicinept_PT
person.familyNameMorais
person.givenNameJoão
person.identifier.ciencia-id3614-652A-118E
person.identifier.orcid0000-0003-3406-2878
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication3bc0f910-a460-461f-863a-1ca701ee597f
relation.isAuthorOfPublication.latestForDiscovery3bc0f910-a460-461f-863a-1ca701ee597f

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