Juvenile temporal arteritis: A clinicopathological multicentric experience

Journeau, L.; Pistorius, M.‐A.; Michon-Pasturel, U.; Lambert, Marc; Lapébie, François-Xavier; Bura-Rivière, A.; Faucal, Philippe de; Jégo, Patrick; Didier, Quentin; Durant, C.; Urbanski, G.; Hervier, B.; Toquet, Claire; Agard, C.; Espitia, O.; Vaisseaux, Groupe d'Étude Français des Artérites des gros

doi:10.1016/j.autrev.2019.03.007

Cited by 18 publications

(5 citation statements)

References 51 publications

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“…According to very recent case series (n = 12) from France, 41.7% (5 of 12) had peripheral eosinophilia, and this figure was similar to our estimate of 43.4% (10 of 23). However, the relation between the presence of eosinophilia and the recurrence of JTA was not presented in that study [26].…”

Section: Discussionmentioning

confidence: 99%

Concurrent bilateral juvenile temporal arteritis and hypereosinophilic syndrome: a case report and review of the literature

Shim

Chung

et al. 2019

Asia Pacific Allergy

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Most of temporal arteritis occurs in the older patient over 50 years old, and the histopathologic finding shows a granulomatous inflammation, so this called giant cell arteritis. However, the young patients also present with a nodular lesion in their temple, and juvenile temporal arteritis (JTA) should be considered as one of the differential diagnosis, although it is very rare. For both diagnosis and treatment of JTA, excisional biopsy is essential. The pathologic finding of the temporal artery shows panarteritis with lymphoeosinophilic infiltrates, but no giant cell or granulomatous lesion. JTA is a localized disease with low level of systemic inflammatory marker, so the symptom is usually relieved by excision of affected lesion. Peripheral blood eosinophilia present in some cases of JTA, but its relation with clinical course and prognosis is not yet been known. Herein, we report the case of a 24-year-old man diagnosed with concurrent JTA and hypereosinophilic syndrome. We also reviewed the literature of JTA focusing on the impact of combined peripheral eosinophilia on the course of the disease. Combined peripheral eosinophilia may increase the risk of recurrence of JTA after local treatment such as excision only.

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Section: Discussionmentioning

confidence: 99%

Concurrent bilateral juvenile temporal arteritis and hypereosinophilic syndrome: a case report and review of the literature

Shim

Chung

et al. 2019

Asia Pacific Allergy

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“…There are no known complications or progression to systemic disease. Kimura disease or angiolymphoid hyperplasia with eosinophilia has overlapping features (especially perivascular germinal centers); a clear differentiation from juvenile temporal arteritis can be difficult [ 131 ]. IgG4-RD and AAV can demonstrate eosinophil-rich infiltrates of the TA and should be considered.…”

Section: Miscellaneous Inflammatory Diseasesmentioning

confidence: 99%

Spectrum of Large and Medium Vessel Vasculitis in Adults: Primary Vasculitides, Arthritides, Connective Tissue, and Fibroinflammatory Diseases

Seitz

Pop

et al. 2022

Curr Rheumatol Rep

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Purpose of Review To provide a comprehensive overview of the spectrum of large and medium vessel vasculitis in adults with primary vasculitides, arthritides, connective tissue, and fibroinflammatory diseases as well as vasculitis mimics, for an efficient differential diagnosis and initial diagnostic approach. Recent Findings Imaging has had a tremendous impact on the diagnosis of medium to large vessel vasculitis, now often replacing histopathologic confirmation and identifying new disease manifestations (e.g., intracranial disease in giant cell arteritis; vascular manifestations of IgG4-related disease). Novel diseases or syndromes involving blood vessels have been described (e.g., VEXAS-Syndrome with polychondritis). The use of the terms “medium” or “large” vessel varies considerably between medical specialties. Summary The differential diagnosis of large and medium vessel vasculitis is becoming increasingly complex as new entities or disease manifestations of known inflammatory rheumatic diseases are regularly identified. A more precise and widely recognized definition of the vessel sizes would make future research more comparable.

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“…Juvenile temporal arteritis (JTA) is an idiopathic rare localized non‐granulomatous inflammation of the superficial temporal artery (STA). JTA commonly presents as a unilateral nodule or an induration in the temple of young adults without systemic involvement 1,2 . JTA affecting both STA is extremely rare.…”

Section: Figurementioning

confidence: 99%

Bilateral juvenile temporal arteritis mimicking clinical features of classic giant cell arteritis

et al. 2020

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mechanism for the development of GD. Exacerbating factors typically include heat, exercise, sweating, and UV light. 3 Chronic renal failure, malignancy, and transplants have also been associated with GD eruptions. 1 Moreover the microscopic hallmark of GD is the presence of focal acantholysis and dyskeratosis. 2 In our reported case, physical examination was highly suggestive for acantholytic dyskeratotic dermatosis, and the histopathological examination confirmed the diagnosis, showing more than one type of histological pattern with a significant predominance of hypergranulosis. Patient's age and clinical condition with recurring episodes, associated with negative medical history and histopathological examination, led us to the correct diagnosis of Grover disease. Histologically, the concurrent presence of marked hyperkeratosis and vacuolar degeneration of the upper epidermis with dyskeratotic cells is a peculiar and unusual microscopic finding of GD. This histological evidence supports the inclusion of epidermolytic hyperkeratosis among the histopathological patterns of GD. Even if only a few cases have been described in the literature, clinicians should keep in mind this particular histological pattern for a good interpretation and treatment of GD.

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Juvenile temporal arteritis: A clinicopathological multicentric experience

Cited by 18 publications

References 51 publications

Concurrent bilateral juvenile temporal arteritis and hypereosinophilic syndrome: a case report and review of the literature

Concurrent bilateral juvenile temporal arteritis and hypereosinophilic syndrome: a case report and review of the literature

Spectrum of Large and Medium Vessel Vasculitis in Adults: Primary Vasculitides, Arthritides, Connective Tissue, and Fibroinflammatory Diseases

Bilateral juvenile temporal arteritis mimicking clinical features of classic giant cell arteritis

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