СЛУЧАЙ НА МНОЖЕСТВЕН МОНОНЕВРИТ С ГИГАНТОКЛЕТЪЧЕН АРТЕРИИТ
A CASE OF MONONEURITIS MULTIPLEX WITH GIANT CELL ARTERITIS

Summary/Abstract: Giant cell arteritis (GCA) is a serious and difficult to diagnose inflammatory vasculopathy that involves large and medium-sized arteries. While the disease may present with blindness or other signs of extracranial vasculitis, symptoms referable to the peripheral nervous system has been reported in 14 % of the patient with GCA. Temporal artery biopsy is the gold standard test for the diagnosis of GCA, but may not be necessary in patients with typical disease features accompanied by characteristic ultrasound or MRI findings revealing wall thickening caused by inflammation (specificity 78%-100% for ultrasound and 73%-97% for MRI), as in our patient. A temporal artery biopsy is the gold standard test for the diagnosis of GCA, but it may not be required in patients with typical disease features accompanied by characteristic ultrasound or MRI findings. We report a case of association of the Mononeuritis multiplex with GCA. Timely diagnosis and initiation of therapy is important because of the risk of vascular ischemic complications due to GCA and subsequent severe disability with serious social and economic consequences.

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