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Temporal arteritis presenting with facial swelling and a negative temporal artery biopsy

by Francis, Ian C , Allende, Alexandra , Lee, Natalie Si-Yi , Lu, Tim Y

in Angioedema / Biopsy / Case reports / Case Reports: Unusual presentation of more common disease/injury / Edema / Giant Cell Arteritis - complications / Giant Cell Arteritis - diagnosis / Giant Cell Arteritis - drug therapy / Histopathology / Humans / Male / Ophthalmology / Pathology / Patients / Rheumatology / Systematic review / Temporal Arteries - diagnostic imaging / Tomography, X-Ray Computed / Vasculitis / Vein & artery diseases

2023

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Temporal arteritis presenting with facial swelling and a negative temporal artery biopsy

by Francis, Ian C , Allende, Alexandra , Lee, Natalie Si-Yi , Lu, Tim Y

2023

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Temporal arteritis presenting with facial swelling and a negative temporal artery biopsy

by Francis, Ian C , Allende, Alexandra , Lee, Natalie Si-Yi , Lu, Tim Y

2023

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Journal Article

Temporal arteritis presenting with facial swelling and a negative temporal artery biopsy

Francis, Ian C,

Allende, Alexandra,

Lee, Natalie Si-Yi,

Lu, Tim Y

2023

Overview

A man in his 60s presented to the emergency department with marked bilateral preauricular swelling, associated with jaw claudication, temporal tenderness and blurred vision. He was immediately treated for temporal arteritis by commencing systemic corticosteroids. A temporal artery biopsy showed no evidence of vasculitis. However, positron emission tomography-CT demonstrated increased uptake in the medium-large vessels, including the left superficial temporal artery and aorta. This case illustrates that facial swelling may be an under-recognised presenting feature of temporal arteritis, and that a negative temporal artery biopsy does not always rule out a diagnosis of temporal arteritis, and should not delay treatment.

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Publisher

BMJ Publishing Group Ltd,BMJ Publishing Group LTD,BMJ Publishing Group

Subject

Angioedema

/ Biopsy

/ Case reports

/ Case Reports: Unusual presentation of more common disease/injury

/ Edema

/ Giant Cell Arteritis - complications

/ Giant Cell Arteritis - diagnosis