A 62-year-old woman presented with ischemic pain of her lower limb on 2 occasions, without upper limb or cranial vessel involvement. She was treated with open bypass of her left lower limb when she presented with critical limb ischemia during her second admission. Although bilateral temporal artery biopsies were negative, superficial femoral artery biopsy at the time of surgery confirmed the diagnosis of giant cell arteritis. Corticosteroid therapy was promptly commenced.
SalvaraniCCrowsonCSO'fallonWM. Reappraisal of the epidemiology of giant cell arteritis in Olmsted County, Minnesota, over a fifty-year period. Arthritis Rheum. 2004;51(2):264–268.
2.
KermaniTAMattesonELHunderGG. Symptomatic lower extremity vasculitis in giant cell arteritis: a case series. J Rheumatol. 2009;36(10):2277–2283.
3.
Le HelloCLevesqueHJeantonM. Lower limb giant cell arteritis and temporal arteritis: follow-up of 8 cases. J Rheumatol. 2001;28(6):1407–1412.
RischmuellerMDaviesRPSmithMD. Three year follow-up of a case of giant cell arteritis presenting with a chronic cough and upper limb ischaemic symptoms. Br J Rheumatol. 1996;35(8):800–802.
6.
Garcia VazquezJMCarreiraJMSeoaneC. Superior and inferior limb ischaemia in giant cell arteritis: angiography follow-up. Clin Rheumatol. 1999;18(1):61–65.
7.
JoyceJW. The giant cell arterides: diagnosis and the role of surgery. J Vasc Surg. 1986;3(5):827–833.
8.
TatoFHoffmannU. Clinical presentation and vascular imaging in giant cell arteritis of the femoropopliteal and tibioperoneal arteries. Analysis of four cases. J Vasc Surg. 2006;44(1):176–182.
9.
LieJT. Aortic and extracranial large vessel giant cell arteritis: a review of 72 cases with histopathological documentation. Semin Arthritis Rheum. 1995;24(6):422–431.
10.
WeyandCMKaiserMYangH. Therapeutic effects of acetylsalicylic acid in giant cell arteritis. Arthritis Rheum. 2002;46(2):457–466.
11.
LiozonEHerrmannFLyK. Risk factors for visual loss in giant cell (temporal) arteritis: a prospective study of 174 patients. Am J Med. 2001;111(3):211–217.
12.
HoffmanGSCidMCHellmannDB. A multicentre, randomized, double-blind, placebo-controlled trial of adjuvant methotrexate treatment for giant cell arteritis. Arthritis Rheum. 2002;46(5):1309–1318.
13.
JoverJAHernandez-GarciaCMoradoIC. Combined treatment of giant-cell arteritis with methotrexate and prednisone. a randomized, double-blind, placebo-controlled trial. Ann Intern Med. 2001;134(2):106–114.
14.
SpieraRFMitnickHJKupersmithIM. A prospective, double-blind, randomized, placebo-controlled trial of methotrexate in treatment of giant cell arteritis (GCA). Clin Exp Rheumatol. 2001;19(5):495–501.
15.
BothMAriesPMMuller-HulsbeckS. Balloon angioplasty of arteries of the upper extremities in patients with extracranial giant-cell arteritis. Ann Rheum Dis. 2006;65(9):1124–1130.
