TY - JOUR
T1 - Dyspnea with Hemidiaphragm Elevation in a Patient with Giant Cell Arteritis
AU - Asano, Yosuke
AU - Matsumoto, Yoshinori
AU - Kubota, Natsuki
AU - Terajima, Yuya
AU - Matsumoto, Kazuya
AU - Shidahara, Kenta
AU - Hirose, Kei
AU - Nakadoi, Takato
AU - Nawachi, Shoichi
AU - Katayama, Yu
AU - Miyawaki, Yoshia
AU - Katsuyama, Eri
AU - Katsuyama, Takayuki
AU - Takano-Narazaki, Mariko
AU - Sada, Ken Ei
AU - Wada, Jun
N1 - Publisher Copyright:
© 2025 The Japanese Society of Internal Medicine.
PY - 2025/7/15
Y1 - 2025/7/15
N2 - We herein report the first case of dyspnea with hemidiaphragm elevation in a 68-year-old woman with active giant cell arteritis (GCA), including successful treatment. Contrast-enhanced computed tomography showed a reduced density of the left ophthalmic artery and the left superficial temporal artery with increased soft tissue compared to the other side, indicating that the GCA had flared up and suggesting that the hemidiaphragm elevation might be caused by vasculitis-associated ischemia of the right phrenic nerve. Hemidiaphragm paralysis due to vasculitis-associated ischemia in patients with GCA needs to be distinguished from local infection, tumors, and hepatomegaly, which are the major causes of hemidiaphragm elevation.
AB - We herein report the first case of dyspnea with hemidiaphragm elevation in a 68-year-old woman with active giant cell arteritis (GCA), including successful treatment. Contrast-enhanced computed tomography showed a reduced density of the left ophthalmic artery and the left superficial temporal artery with increased soft tissue compared to the other side, indicating that the GCA had flared up and suggesting that the hemidiaphragm elevation might be caused by vasculitis-associated ischemia of the right phrenic nerve. Hemidiaphragm paralysis due to vasculitis-associated ischemia in patients with GCA needs to be distinguished from local infection, tumors, and hepatomegaly, which are the major causes of hemidiaphragm elevation.
KW - FDG-PET
KW - case report
KW - dyspnea
KW - giant cell arteritis
KW - hemidiaphragm elevation
KW - phrenic nerve paralysis
UR - https://www.scopus.com/pages/publications/105010724892
UR - https://www.scopus.com/pages/publications/105010724892#tab=citedBy
U2 - 10.2169/internalmedicine.4055-24
DO - 10.2169/internalmedicine.4055-24
M3 - Article
C2 - 39814390
AN - SCOPUS:105010724892
SN - 0918-2918
VL - 64
SP - 2245
EP - 2248
JO - Internal Medicine
JF - Internal Medicine
IS - 14
ER -