Giant Cell Arteritis with Generalized Granuloma Annulare

Yuichi Torisu; Yoshiro Horai; Tohru Michitsuji; Chieko Kawahara; Takahiro Mori; Nozomi Iwanaga; Yasumori Izumi; Atsushi Kawakami

doi:10.2169/internalmedicine.1978-18

CASE REPORTS

Giant Cell Arteritis with Generalized Granuloma Annulare

Yuichi Torisu, Yoshiro Horai, Tohru Michitsuji, Chieko Kawahara, Takahiro Mori, Nozomi Iwanaga, Yasumori Izumi, Atsushi Kawakami

Author information

Yuichi Torisu
Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center, Japan
Yoshiro Horai
Department of Rheumatology, National Hospital Organization Nagasaki Medical Center, Japan
Clinical Research Center, National Hospital Organization Nagasaki Medical Center, Japan
Tohru Michitsuji
Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center, Japan
Department of Rheumatology, Sasebo City General Hospital, Japan
Chieko Kawahara
Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center, Japan
Takahiro Mori
Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center, Japan
Nozomi Iwanaga
Department of Rheumatology, National Hospital Organization Nagasaki Medical Center, Japan
Yasumori Izumi
Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center, Japan
Atsushi Kawakami
Department of Immunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Japan

Keywords: giant cell arteritis, generalized granuloma annulare, vasculitis

JOURNAL OPEN ACCESS

2019 Volume 58 Issue 8 Pages 1173-1177

DOI https://doi.org/10.2169/internalmedicine.1978-18

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Abstract

We report the case of an 80-year-old man with generalized granuloma annulare (GGA) who subsequently developed giant cell arteritis (GCA). Steroid treatment was effective for both diseases in this case. Although cases of concomitant GGA and GCA have rarely been reported, previous studies suggest that common histological characteristics underlie the two diseases. It is therefore necessary to recognize that GGA can be complicated by GCA, particularly when typical symptoms, such as headache and visual disturbance, are present.

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