Document Type : Case Report

Authors

1 rheumatology research center

2 Professor of Rheumatology, Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Rheumatic Diseases Research Center (RDRC), Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

4 Assistant Professor of Rheumatology, Rheumatic Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Fellow ship of rheumatology, school of medicine, Mashhad university of medical sciences, Mashhad, Iran

Abstract

Background: GCA (Giant Cell Arteritis) is a granulomatous vasculitis of large arteries, frequently, observed typical cranial symptoms but sometimes nonspecific extracranial involvements are dominant. Diagnosis of this “occult” or “extracranial” GCA as a medical emergency is crucial to prevent irreversible complications. The aim is presentation of a 52-years-old man without cranial manifestations who lead to acute peritonitis and death.
Conclusion: Elevated inflammatory markers without cranial manifestations should be considered of extracranial GCA. Delay of diagnosis in GCA especially extracranial type could led to irreversible and severe complications.

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