Bilateral parotitis revealing giant cell arteritis: A case report

IF 3.8 3区医学 Q1 RHEUMATOLOGY

Joint Bone Spine Pub Date : 2025-02-13 DOI:10.1016/j.jbspin.2025.105855

Robin Arcani , Tatiana Horowitz , Pierre-André Jarrot , Myriam Debelle , Patrick Villani , Aurélie Daumas

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Abstract

We report the atypical case of giant cell arteritis (GCA) in an 88-year-old woman, whose primary symptom was parotitis. The patient presented with a three-week history of painful bilateral parotid enlargement and mild undated morning headaches that were relieved with acetaminophen, but she did not have classic GCA symptoms such as jaw claudication or scalp tenderness. Biological tests revealed biological inflammation. Parotid glands did not show any structural abnormalities. A Doppler ultrasound of the temporal arteries showed inflammation, and a positron emission tomography/computed tomography scan confirmed hypermetabolism in multiple arteries, including those supplying the parotid glands. Temporal artery biopsy confirmed GCA. The patient was treated with prednisone, leading to a rapid improvement in symptoms and inflammatory markers. This case highlights a rare presentation of GCA, where parotitis is the main symptom. GCA should be considered in elderly patients with persistent inflammation and parotitis, particularly when other common causes are ruled out.

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双侧腮腺炎表现为巨细胞动脉炎1例。

我们报告巨细胞动脉炎（GCA）的非典型病例在一个88岁的妇女，其主要症状是腮腺炎。患者有三周的双侧腮腺肿大疼痛史和轻微的无日期的早晨头痛，用对乙酰氨基酚缓解，但她没有典型的GCA症状，如下颌跛行或头皮压痛。生物测试显示生物炎症。腮腺未见结构异常。颞动脉多普勒超声显示炎症，正电子发射断层扫描/计算机断层扫描证实多动脉代谢亢进，包括腮腺供血动脉。颞动脉活检证实GCA。患者接受强的松治疗，导致症状和炎症标志物迅速改善。本病例为罕见的GCA，以腮腺炎为主要症状。对于患有持续性炎症和腮腺炎的老年患者，特别是在排除其他常见原因的情况下，应考虑GCA。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Joint Bone Spine 医学-风湿病学

CiteScore

4.50

自引率

11.90%

发文量

184

审稿时长

25 days

期刊介绍： Bimonthly e-only international journal, Joint Bone Spine publishes in English original research articles and all the latest advances that deal with disorders affecting the joints, bones, and spine and, more generally, the entire field of rheumatology. All submitted manuscripts to the journal are subjected to rigorous peer review by international experts: under no circumstances does the journal guarantee publication before the editorial board makes its final decision. (Surgical techniques and work focusing specifically on orthopedic surgery are not within the scope of the journal.)Joint Bone Spine is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey platforms.