Giant cell arteritis presenting as renal vasculitis

Abstract

SummaryGiant cell arteritis commonly presents with headache, polymyalgia, and visual signs and symptoms. Other neurological, respiratory or vascular symptoms occur in 10-30% of patients. It is extremely rare for giant cell arteritis to present initially with haematuria. Here we describe a case which presented with fever and haematuria, which emphasise the need to be vigilant about the diagnosis of giant cell arteritis as an underlying cause.

Clinicopathologic Conference: A 70‐Year‐Old Male With Hypertensive Emergency

“…Within this cohort, 3 patients presented with new-onset hypertension, and 10 patients also had cranial symptoms (19). Renal failure in patients with GCA has also been described in a few case reports but not because of renal artery stenosis (20)(21)(22)(23)(24). Moreover, the patient treated at our clinic had preserved renal function.…”

Chhaaya adhyaya of bhela indriya sthana - an explorative study

“…When renal involvement occurs in GCA, transient microscopic or intermittent haematuria, red cell casts, proteinuria, nephrotic syndrome, membranous glomerulonephritis, and acute renal failure can be found. 38 Uremic frost can be seen in chronic kidney disease (CKD) and/or severe uremia. When the blood urea nitrogen (BUN) level is high, the concentration of urea in sweat increases greatly.…”

Hypokalemic Metabolic Alkalosis Secondary to Giant Cell Arteritis

“…Temporal arteritis is a granulomatous vasculitis affecting the aorta and its main branches, and renal function impairment is rarely observed [1][2][3]. We present a patient with a generalized syndrome associated with hypokalemic alkalosis secondary to giant cell arteritis, the initial manifestation of which, to our knowledge, has not been described.…”

“…Renal involvement associated with temporal arteritis is rare [1][2][3]. The nephrotic syndrome is the most frequently found alteration [2][3][4], and it may manifest itself in the context of focal and segmental glomerulonephritis [5], membranous glomerulonephritis [2], or amyloidosis [4].…”