Giant-cell Arteritis Producing an Aortic Arch Syndrome

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Abstract
The case of a 65-year-old woman with giant-cell arteritis (temporal arteritis) in whom an aortic arch syndrome developed is presented. She had weakness, loss of weight and fever for 1 yr. and headaches for 3 mo. prior to her examination. Arterial pulses in the extremities became impaired. An aortogram showed thickening of the thoracic aortic wall, obliteration of the left subclavian artery, stenosis of the right subclavian artery, and slight narrowing of the right vertebral, left common carotid, and left subclavian arteries. Biopsy of the temporal artery showed giant-cell arteritis. Improvement of peripheral pulses followed treatment with prednisone.

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