Tijdschrift voor Geneeskunde vol:65 issue:9 pages:407-409
A 66-year-old man with dry cough, anorexia and headache.
Giant cell arteritis is an immune-mediated granulomatous inflammation of the medicum-sized and large blood vessels. It usually occurs in Caucasians aged over 50 years. The most common clinical manifestations are headache, jaw claudication an vision loss. Polymyalgia rheumatica is also related to giant cell arteritis. It is less-known that up to 36% of the patients have respiratory tract sympthoms.
We present the history of a patient with dry cough, anorexia and headache as the dominating symptoms. Despite the presence of a painfull temporal artery, the biopsy was negative. PET scan was compatible with the diagnosis of giant cell arteritis.