Development of Eosinophilic Temporal Arteritis and Digital Ischemia in a Patient with Hypereosinophilic Syndrome

We describe a case of eosinophilic temporal arteritis in a 61-year-old woman with hypereosinophilic syndrome, who developed subcutaneous nodules in the temporal areas and digital cyanosis with small nodules on the sides of her fingers. Ultrasound revealed occlusion and corkscrew-like changes of the...

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Autores principales: Ishii, Kayo, Mizuuchi, Takahiro, Yamamoto, Yusuke, Mori, Hiroaki, Tago, Mayu, Kato, Eri, Hayashi, Haeru, Tahara, Koichiro, Sawada, Tetsuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303445/
https://www.ncbi.nlm.nih.gov/pubmed/32101832
http://dx.doi.org/10.2169/internalmedicine.3707-19
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author Ishii, Kayo
Mizuuchi, Takahiro
Yamamoto, Yusuke
Mori, Hiroaki
Tago, Mayu
Kato, Eri
Hayashi, Haeru
Tahara, Koichiro
Sawada, Tetsuji
author_facet Ishii, Kayo
Mizuuchi, Takahiro
Yamamoto, Yusuke
Mori, Hiroaki
Tago, Mayu
Kato, Eri
Hayashi, Haeru
Tahara, Koichiro
Sawada, Tetsuji
author_sort Ishii, Kayo
collection PubMed
description We describe a case of eosinophilic temporal arteritis in a 61-year-old woman with hypereosinophilic syndrome, who developed subcutaneous nodules in the temporal areas and digital cyanosis with small nodules on the sides of her fingers. Ultrasound revealed occlusion and corkscrew-like changes of the temporal and digital arteries, respectively. Temporal artery biopsy revealed eosinophilic vasculitis without giant cell formation. Angiography showed occlusion of the ulnar and digital arteries. Administration of low-dose corticosteroid improved the temporal artery swelling and digital cyanosis. More reports of similar cases are required to characterize this type of non-giant cell eosinophilic vasculitis that affects the peripheral arteries.
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spelling pubmed-73034452020-06-23 Development of Eosinophilic Temporal Arteritis and Digital Ischemia in a Patient with Hypereosinophilic Syndrome Ishii, Kayo Mizuuchi, Takahiro Yamamoto, Yusuke Mori, Hiroaki Tago, Mayu Kato, Eri Hayashi, Haeru Tahara, Koichiro Sawada, Tetsuji Intern Med Case Report We describe a case of eosinophilic temporal arteritis in a 61-year-old woman with hypereosinophilic syndrome, who developed subcutaneous nodules in the temporal areas and digital cyanosis with small nodules on the sides of her fingers. Ultrasound revealed occlusion and corkscrew-like changes of the temporal and digital arteries, respectively. Temporal artery biopsy revealed eosinophilic vasculitis without giant cell formation. Angiography showed occlusion of the ulnar and digital arteries. Administration of low-dose corticosteroid improved the temporal artery swelling and digital cyanosis. More reports of similar cases are required to characterize this type of non-giant cell eosinophilic vasculitis that affects the peripheral arteries. The Japanese Society of Internal Medicine 2020-02-26 2020-05-15 /pmc/articles/PMC7303445/ /pubmed/32101832 http://dx.doi.org/10.2169/internalmedicine.3707-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ishii, Kayo
Mizuuchi, Takahiro
Yamamoto, Yusuke
Mori, Hiroaki
Tago, Mayu
Kato, Eri
Hayashi, Haeru
Tahara, Koichiro
Sawada, Tetsuji
Development of Eosinophilic Temporal Arteritis and Digital Ischemia in a Patient with Hypereosinophilic Syndrome
title Development of Eosinophilic Temporal Arteritis and Digital Ischemia in a Patient with Hypereosinophilic Syndrome
title_full Development of Eosinophilic Temporal Arteritis and Digital Ischemia in a Patient with Hypereosinophilic Syndrome
title_fullStr Development of Eosinophilic Temporal Arteritis and Digital Ischemia in a Patient with Hypereosinophilic Syndrome
title_full_unstemmed Development of Eosinophilic Temporal Arteritis and Digital Ischemia in a Patient with Hypereosinophilic Syndrome
title_short Development of Eosinophilic Temporal Arteritis and Digital Ischemia in a Patient with Hypereosinophilic Syndrome
title_sort development of eosinophilic temporal arteritis and digital ischemia in a patient with hypereosinophilic syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7303445/
https://www.ncbi.nlm.nih.gov/pubmed/32101832
http://dx.doi.org/10.2169/internalmedicine.3707-19
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