Rheumatology

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Vasculitis of the temporal arteries in the young
Seminars in Arthritis and Rheumatism, 12/29/08

Nesher G et al. - Temporal artery vasculitis (TAV) in the young is rare and differs from the classical temporal arteritis of older adults; although an apparent overlap exists. The final diagnosis of TAV in the young pts is based on a combination of clinical findings, relevant laboratory data, imaging studies, and histological findings.

• Although TAV in pts <50 yrs is rare, study describes a case of TAV in an 18-year-old man
• Literature review based on PubMed search regarding cases of all types of vasculitic involvement of the temporal arteries in the young

• Less than 40 such cases in young are described
• TAV in the young divided into 3 groups: juvenile temporal arteritis, localized eosinophilic arteritis confined to the temporal arteries, seems unique to this age group
• 15 pts with juvenile temporal arteritis; other vasculitides, such as polyarteritis nodosa, Churg–Strauss syndrome, and thrombangiitis obliterans (12 cases)
• Least common group is arteritis in young pts, histologically resembling elderly type temporal arteritis (5 cases)
• Other conditions such as Kimura disease and angiolymphoid hyperplasia with eosinophilia may resemble temporal arteritis in the young

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