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Case Reports

 

Man-in-a-barrel syndrome: a rare presentation of giant cell arteritis


1, 2, 3, 4, 5

 

  1. Division of Rheumatology, Department of Internal Medicine, Patras University Hospital, Rion, Patras, Greece.
  2. Department of Neurology, Patras University Hospital, and Department of Neurology, University of Patras Medical School, Rion, Patras, Greece.
  3. Department of Neurology, Patras University Hospital, Rion, Patras, Greece.
  4. Department of Neurology, Patras University Hospital, and Department of Neurology, University of Patras Medical School, Rion, Patras, Greece.
  5. Division of Rheumatology, Department of Internal Medicine, Patras University Hospital, and Department of Medicine, University of Patras Medical School, Rion, Patras, Greece. snliossis@med.upatras.gr

CER15521
2022 Vol.40, N°4
PI 0838, PF 0840
Case Reports

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PMID: 35485423 [PubMed]

Received: 23/01/2022
Accepted : 14/02/2022
In Press: 27/04/2022
Published: 04/05/2022

Abstract

We present herein the case of a patient with brachial plexopathy, the first manifestation of giant cell arteritis (GCA). A 71-year-old woman presented with a subacute-onset weakness of her upper extremities; the patient had an initially good clinical response to steroid treatment. However, a few weeks after steroid discontinuation, she manifested fever and fatigue and increased serum markers consistent with a systemic inflammatory response. A PET-CT scan revealed an increased uptake in the subclavian arteries and a temporal biopsy was typical for GCA. Oral administration of high dosage steroids improved the patient’s clinical symptoms and normalised her inflammatory serum markers.

DOI: https://doi.org/10.55563/clinexprheumatol/ey75u3

Rheumatology Article