48. Dry cough and pleural effusion as presenting features of giant cell arteritis

摘要

IntroductionGiant cell arteritis is a vasculitis which predominantly affects the carotid artery and its extra-cranial branches. Its classical presentation is that of headache with scalp tenderness but should be considered in anyone over the age of fifty years with transient visual symptoms, unexplained facial pain and/or jaw claudication. As a systemic vasculitis, clinical signs may vary, however respiratory complications compared to other vasculitides are uncommon. We present a case of new onset pleural effusion as a presenting feature of giant cell arteritis.