Prolonged corticosteroid treatment in the management of temporal arteritis

Corticosteroids are used in the treatment of many rheumatological diseases including temporal arteritis. The gastrointestinal perforation during corticosteroid treatment is a serious complication. Colon perforation after steroid use was first reported by Beck et al in 1950. 1 Although the pathophysiological mechanism is not understood clearly, it is claimed that steroids probably by disturbing the intestinal mucosal barrier, facilitate the intestinal perforation. The long term treatment with corticosteroids increases the risk of colon perforation. We are presenting a patient who was taking corticosteroid due to temporal arteritis for two years and operated with sigmoid diverticular perforation.

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THROMBOEMBOLIC COMPLICATIONS DURING CORTICOSTEROID TREATMENT OF TEMPORAL ARTERITIS

The Lancet ◽

10.1016/s0140-6736(72)90784-2 ◽

1972 ◽

Vol 299 (7756) ◽

pp. 907 ◽

Cited By ~ 10

Author(s):

Bengt Wadman ◽

Ivar Werner

Keyword(s):

Temporal Arteritis ◽

Corticosteroid Treatment ◽

Thromboembolic Complications

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A nyelv necrosisa mint az arteritis temporalis szokatlan manifesztációja

Orvosi Hetilap ◽

10.1556/650.2017.30641 ◽

2017 ◽

Vol 158 (2) ◽

pp. 77-80

Author(s):

Zoltán Sámson ◽

Beáta Gábor ◽

Petra Görög ◽

Csaba Tóth ◽

Ákos Rőthy ◽

...

Keyword(s):

Temporal Arteritis ◽

Clinical Course ◽

Corticosteroid Treatment ◽

Disease Pathogenesis ◽

Rare Manifestation ◽

Diagnostic Difficulties ◽

Arteritis Temporalis

Abstract: Authors present a rare manifestation of the temporal arteritis, wich caused initial diagnostic difficulties, but it responded well for corticosteroid treatment. The features of the disease, pathogenesis, possible therapy are briefly summarized beside the description of clinical course. Orv. Hetil., 2017, 158(2), 77–80.

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Mural inflammatory hyperenhancement in MRI of giant cell (temporal) arteritis resolves under corticosteroid treatment

Rheumatology ◽

10.1093/rheumatology/kem283 ◽

2008 ◽

Vol 47 (1) ◽

pp. 65-67 ◽

Cited By ~ 45

Author(s):

T. A. Bley ◽

M. Markl ◽

M. Schelp ◽

M. Uhl ◽

A. Frydrychowicz ◽

...

Keyword(s):

Giant Cell ◽

Temporal Arteritis ◽

Corticosteroid Treatment

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Psychiatric Aspects of Temporal Arteritis: A Case Report and Review of the Literature

Journal of Geriatric Psychiatry and Neurology ◽

10.1177/089198879701000403 ◽

1997 ◽

Vol 10 (4) ◽

pp. 142-145 ◽

Cited By ~ 8

Author(s):

Hazel Johnson ◽

Walter Bouman ◽

Gillian Pinner

Keyword(s):

Temporal Arteritis ◽

Psychiatric Symptoms ◽

Corticosteroid Treatment ◽

The Elderly ◽

Psychotic Symptoms ◽

Clear Cut ◽

Full Remission ◽

Affective Symptoms ◽

Atypical Manifestations ◽

Psychotic Features

Temporal arteritis may present with atypical manifestations that can hamper its diagnosis. We report a case presenting with predominantly psychiatric symptoms including psychotic features and affective symptoms both on a background of cognitive impairment. Such clear-cut psychotic symptoms have not been described previously in the literature. Corticosteroid treatment was followed by full remission of psychotic and affective symptoms; treatment with antipsychotic medication was unnecessary. Temporal arteritis should be considered in the differential diagnosis of psychosis and affective disorder in the elderly. The erythrocyte sedimentation rate is a valuable parameter in the assessment of old-age psychiatry patients presenting both with functional and neurologic disorders.

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