El-Sayed Zeinab A, El-Awady Hanaa M, Hassan Zeinab E, Adham Tamer M H, Mostafa Hossam M, Elhefnawy Nadia G
Pediatric Department, Faculty of Medicine, Ain Shams University, Abbassia, Cairo 11566, Egypt.
Pathology Department, Faculty of Medicine, Ain Shams University, Abbassia, Cairo 11566, Egypt.
Case Rep Rheumatol. 2014;2014:491937. doi: 10.1155/2014/491937. Epub 2014 Oct 21.
Giant cell arteritis (GCA) is rare in children. The kidneys are generally spared. We present a case of GCA in a 12-year-old girl with severe headache and tender scalp especially over the right temporal area. The right superficial temporal artery was cord like and nodular and the pulsations were barely felt. Several small tender nodular swellings were felt in the occipital area. She had been previously diagnosed as a case of nephrotic syndrome due to underlying membranoproliferative glomerulonephritis. This report is aimed at drawing attention to this rare form of vasculitis in children aiming at decreasing its morbidities.
巨细胞动脉炎（GCA）在儿童中罕见。肾脏通常不受累。我们报告一例12岁女孩患GCA，有严重头痛，头皮触痛，尤其是右侧颞部区域。右侧颞浅动脉呈条索状且有结节，搏动几乎触不到。枕部可触及几个小的触痛性结节状肿胀。她之前因潜在的膜增生性肾小球肾炎被诊断为肾病综合征。本报告旨在引起对儿童这种罕见血管炎形式的关注，以降低其发病率。
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