Marc Paccalin, MD; Gwenael Le Moal, MD; Pascal Roblot, MD
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Paccalin M, Le Moal G, Roblot P. Giant-Cell Arteritis of the Female Genital Tract. Ann Intern Med. 2001;134:626-627. doi: 10.7326/0003-4819-134-7-200104030-00023
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Published: Ann Intern Med. 2001;134(7):626-627.
TO THE EDITOR:
The female genital tract is rarely involved in giant-cell arteritis. A 68-year-old woman was referred to us because of a 6-month history of abdominal pain and fever (body temperature, 38 °C). Her medical history was unremarkable. The patient had not lost weight and did not have headache or polymyalgia rheumatica. Temporal arteries were normal to palpation. Laboratory results were as follows: hemoglobin level, 93 g/L; leukocyte count, 6.6 × 109 cells/L; erythrocyte sedimentation rate, 120 mm/h; and C-reactive protein level, 100 mg/L (normal < 5 mg/L). Serum creatinine level, liver function test results, and alkaline phosphatase activity were normal. Culture of blood, urine, and vaginal smears and search for tuberculosis remained negative. Computed tomography of the abdomen and pelvis showed an enlargement of the uterus that also affected the left fallopian tube (Figure). A temporal artery biopsy revealed occult temporal arteritis.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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