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Canadian Journal of Gastroenterology
Volume 8, Issue 1, Pages 36-38
http://dx.doi.org/10.1155/1994/641460
Case Record

Hepatic Giant Cell Arteritis and Polymyalgia Rheumatica

Donald R Duerksen, Laurence D Jewell, and Vincent G Bain

Departments of Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada

Received 28 June 1993; Accepted 30 August 1993

Copyright © 1994 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Polymyalgia rheumatica (PMR) is a clinical syndrome of the elderly characterized by malaise, proximal muscle aching and stiffness, low grade fever, elevated erythrocyte sedimentation rare and the frequent association with temporal giant cell arteritis. The authors describe a case of PMR associated with hepatic giant cell arteritis. This lesion has been described in two other clinical reports. The distribution of the arteritis may be patchy; in this report, diagnosis was made with a wedge biopsy performed after an initial nonspecific percutaneous liver biopsy. The authors review the spectrum of liver involvement in PMR and giant cell arteritis. Hepatic abnormalities respond to systemic corticosteroids, and patients with hepatic arteritis have a good prognosis.