Abstract
Temporal arteritis is a large-vessel vasculitis predominantly affecting the external carotid and its branches. Venous thrombosis is rarely found at the onset of temporal arteritis, particularly when venous symptoms precede arterial involvement. We report the case of a 70-year-old woman consulting for bilateral superficial frontal venous thrombosis. Superficial bilateral temporal venous thrombosis occurred under adequate anticoagulation before the onset of arterial symptoms suggestive of temporal arteritis. We then discuss the pathophysiology of venous thrombosis in patients with temporal arteritis.
Copyright 2009 Elsevier Masson SAS. All rights reserved.
MeSH terms
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Aged
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Anti-Inflammatory Agents / therapeutic use
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Anticoagulants / therapeutic use
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Biopsy
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Female
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Forehead / blood supply*
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Giant Cell Arteritis / complications
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Giant Cell Arteritis / diagnosis*
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Giant Cell Arteritis / drug therapy
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Giant Cell Arteritis / pathology
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Giant Cell Arteritis / physiopathology
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Headache / etiology
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Humans
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Hyperesthesia / etiology
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Prednisone / therapeutic use
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Temporal Arteries / pathology
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Ultrasonography
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Venous Thrombosis / diagnostic imaging
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Venous Thrombosis / drug therapy
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Venous Thrombosis / etiology*
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Venous Thrombosis / physiopathology
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Vision Disorders / etiology
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Visual Fields
Substances
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Anti-Inflammatory Agents
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Anticoagulants
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Prednisone