Isquemia de extremidades inferiores secundaria a arteritis de la arteria temporal

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dc.catalogadorjca
dc.contributor.authorZarate Bertoglio, Cristián
dc.contributor.authorMartínez Ruiz-Esquide, María Eugenia
dc.contributor.authorSfeir Vottero, Pedro Ignacio
dc.contributor.authorDrazic B., Obren
dc.contributor.authorVargas S., José F.
dc.contributor.authorTorrealba, José
dc.contributor.authorBergoeing, Michel
dc.contributor.authorMariné, Leopoldo
dc.contributor.authorValdés, Francisco
dc.contributor.authorMertens, Renato
dc.date.accessioned2025-03-13T13:34:37Z
dc.date.available2025-03-13T13:34:37Z
dc.date.issued2020
dc.description.abstractGiant cell arteritis is more common in women older than 60 years, is associated with systemic inflammation symptoms and mainly involves the aortic arch and cranial arteries, specially the temporal artery. Symptomatic lower extremity arterial stenosis or occlusion is uncommon and can lead to limb loss. We report a 73-year-old woman presenting with a one-month history of lower extremity intermittent claudication of sudden onset. She also complained of fever, malaise, headache and weight loss. A non-invasive vascular study showed moderate femoral popliteal occlusive disease, with and abnormal ankle-brachial index (0.68 and 0.83 on right and left sides, respectively). An angio-computed tomography showed thickening of the aortic wall and severe stenosis in both superficial femoral arteries. Steroidal treatment was started, and a temporal artery biopsy was performed confirming giant cell arteritis. Six weeks after steroid therapy the patient had a complete remission of symptoms. A serologic exacerbation was subsequently treated with a humanized monoclonal antibody against the interleukin-6 receptor Tocilizumab, obtaining long time remission.
dc.fechaingreso.objetodigital2025-03-13
dc.format.extent5 páginas
dc.fuente.origenORCID
dc.identifier.doi10.4067/S0034-98872020001001513
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.scopusid2-s2.0-85101387555
dc.identifier.urihttps://doi.org/10.4067/S0034-98872020001001513
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/102554
dc.information.autorucEscuela de Medicina; Zarate Bertoglio, Cristián Fernando; S/I; 1052487
dc.information.autorucEscuela de Medicina; Martínez Ruiz-Esquide, María Eugenia; S/I; 58254
dc.information.autorucEscuela de Medicina; Sfeir Vottero, Pedro Ignacio; S/I; 227655
dc.issue.numero10
dc.language.isoes
dc.nota.accesocontenido completo
dc.pagina.final1517
dc.pagina.inicio1513
dc.revistaRevista Médica de Chile
dc.rightsacceso abierto
dc.subjectArteritis
dc.subjectGiant Cells
dc.subjectGiant Cell Arteritis
dc.subjectFemoral Artery
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleIsquemia de extremidades inferiores secundaria a arteritis de la arteria temporal
dc.title.alternativeLower limb ischemia in giant cell arteritis. Report of one case
dc.typeartículo de revisión
dc.volumen148
sipa.codpersvinculados1052487
sipa.codpersvinculados58254
sipa.codpersvinculados227655
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