TY - JOUR
T1 - Giant cell arteritis presenting as depressed mood and headache in an elderly patient
AU - Kumar, Bharat
AU - Toney, Dale E.
AU - Alikhan, Mujahed
AU - Lohr, Kristine M.
PY - 2013/10
Y1 - 2013/10
N2 - Giant cell arteritis (GCA) is an autoimmune disorder characterized by the inflammation of medium to large vessels. Although classic descriptions have centered on features such as vision loss, headaches, fevers, and jaw claudication, there is increasing recognition of more atypical manifestations. We report a case of GCA in a 77-year-old male patient initially presenting with depressed mood and headache. His psychiatric symptoms promptly responded to treatment with corticosteroids without the use of antidepressants. This case adds to the literature that GCA may initially present with affective or psychotic symptoms and highlights the need for clinicians to consider GCA in the differential diagnosis for new-onset psychiatric disorders in the elderly.
AB - Giant cell arteritis (GCA) is an autoimmune disorder characterized by the inflammation of medium to large vessels. Although classic descriptions have centered on features such as vision loss, headaches, fevers, and jaw claudication, there is increasing recognition of more atypical manifestations. We report a case of GCA in a 77-year-old male patient initially presenting with depressed mood and headache. His psychiatric symptoms promptly responded to treatment with corticosteroids without the use of antidepressants. This case adds to the literature that GCA may initially present with affective or psychotic symptoms and highlights the need for clinicians to consider GCA in the differential diagnosis for new-onset psychiatric disorders in the elderly.
KW - case report
KW - giant cell arteritis
KW - psychiatry
UR - http://www.scopus.com/inward/record.url?scp=84885182262&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84885182262&partnerID=8YFLogxK
U2 - 10.1097/RHU.0b013e3182a701e8
DO - 10.1097/RHU.0b013e3182a701e8
M3 - Article
C2 - 24048107
AN - SCOPUS:84885182262
SN - 1076-1608
VL - 19
SP - 405
EP - 406
JO - Journal of Clinical Rheumatology
JF - Journal of Clinical Rheumatology
IS - 7
ER -