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Difference between revisions of "Giant cell arteritis"
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- Consistent with temporal arteritis (medium size artery with | - Consistent with temporal arteritis (medium size artery with | ||
lymphohistocytic inflammation, giant cells, arterial wall thickening, | lymphohistocytic inflammation, giant cells, arterial wall thickening, | ||
and elastic fibre fragmentation). | |||
</pre> | </pre> | ||
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The sections show a focal histocytic response with intimal thickening. Giant cells are absent. Fibrinoid necrosis is absent. Significant transmural inflammation is absent. | The sections show a focal histocytic response with intimal thickening. Giant cells are absent. Fibrinoid necrosis is absent. Significant transmural inflammation is absent. | ||
</pre> | |||
====Alternate==== | |||
<pre> | |||
Temporal Artery, Right, Biopsy: | |||
- Medium size artery with mild-to-moderate atherosclerosis, small calcifications and focal internal | |||
elastic lamina disruption, otherwise within normal limits, see comment. | |||
Comment: | |||
A negative biopsy does not rule out the possibility of giant cell (temporal) arteritis, as this may be a focal disorder. The clinical management should be dependent upon the clinical impression. | |||
</pre> | </pre> | ||