Monckeberg’s Calcification as a Clinical Mimicker of Temporal Arteritis: A Case Report
Temporal arteritis usually presents in patients above 50 years and is characterised by granulomatous inflammation in all layers of the arterial wall. On the other hand, Monckeberg medial calcification is a disease condition limited to the tunica media of the affected vessels. In this report, authors...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/18803/66362_CE[Ra1]_F(SHU)_QC&REF(KK_RDW)_PF1(AG_KM)_PFA(AG_KM)_PN(KM).pdf |
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| author | Reeta Mohan MANJIRI DILIP PHANSALKAR Ramesh Kannan |
| author_facet | Reeta Mohan MANJIRI DILIP PHANSALKAR Ramesh Kannan |
| author_sort | Reeta Mohan |
| collection | DOAJ |
| description | Temporal arteritis usually presents in patients above 50 years and is characterised by granulomatous inflammation in all layers of the arterial wall. On the other hand, Monckeberg medial calcification is a disease condition limited to the tunica media of the affected vessels. In this report, authors present the case of a 68-year-old man who presented to the casualty with facial pain. He also had a runny nose, cough, and sleep disturbance. A Computed Tomography (CT) scan was performed and reported as normal. The patient
underwent Ear, Nose and Throat (ENT) and Ophthalmology evaluations. Neurology opinion revealed tenderness and thickening of the right superficial temporal artery. Based on clinical suspicion, the patient was started on oral corticosteroids, suspecting temporal arteritis. A temporal artery biopsy was performed for histopathological examination, which surprisingly revealed no evidence of arteritis but only calcification of the tunica media. Unfortunately, the patient was lost to follow-up after the biopsy. This case highlights the
importance of recognising Monckeberg medial calcification in clinically suspected cases of temporal arteritis, as there are only a few reported cases in the literature. |
| first_indexed | 2024-03-08T22:53:01Z |
| format | Article |
| id | doaj.art-ea62b32a62bc4717869a5bc554e5303f |
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| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-08T22:53:01Z |
| publishDate | 2023-12-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ea62b32a62bc4717869a5bc554e5303f2023-12-16T09:20:42ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-12-011712121310.7860/JCDR/2023/66362.18803Monckeberg’s Calcification as a Clinical Mimicker of Temporal Arteritis: A Case ReportReeta Mohan0MANJIRI DILIP PHANSALKAR1Ramesh Kannan2Senior Resident, Department of Pathology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University (Deemed-to-be University), Puducherry, India.Professor, Department of Pathology, Pondicherry Institute of Medical Sciences, Puducherry, India.Professor, Department of Neurology, Pondicherry Institute of Medical Sciences, Puducherry, India.Temporal arteritis usually presents in patients above 50 years and is characterised by granulomatous inflammation in all layers of the arterial wall. On the other hand, Monckeberg medial calcification is a disease condition limited to the tunica media of the affected vessels. In this report, authors present the case of a 68-year-old man who presented to the casualty with facial pain. He also had a runny nose, cough, and sleep disturbance. A Computed Tomography (CT) scan was performed and reported as normal. The patient underwent Ear, Nose and Throat (ENT) and Ophthalmology evaluations. Neurology opinion revealed tenderness and thickening of the right superficial temporal artery. Based on clinical suspicion, the patient was started on oral corticosteroids, suspecting temporal arteritis. A temporal artery biopsy was performed for histopathological examination, which surprisingly revealed no evidence of arteritis but only calcification of the tunica media. Unfortunately, the patient was lost to follow-up after the biopsy. This case highlights the importance of recognising Monckeberg medial calcification in clinically suspected cases of temporal arteritis, as there are only a few reported cases in the literature.https://www.jcdr.net/articles/PDF/18803/66362_CE[Ra1]_F(SHU)_QC&REF(KK_RDW)_PF1(AG_KM)_PFA(AG_KM)_PN(KM).pdfmonckeberg medial calcificationpersistent headachetemporal artery biopsy |
| spellingShingle | Reeta Mohan MANJIRI DILIP PHANSALKAR Ramesh Kannan Monckeberg’s Calcification as a Clinical Mimicker of Temporal Arteritis: A Case Report Journal of Clinical and Diagnostic Research monckeberg medial calcification persistent headache temporal artery biopsy |
| title | Monckeberg’s Calcification as a Clinical Mimicker of Temporal Arteritis: A Case Report |
| title_full | Monckeberg’s Calcification as a Clinical Mimicker of Temporal Arteritis: A Case Report |
| title_fullStr | Monckeberg’s Calcification as a Clinical Mimicker of Temporal Arteritis: A Case Report |
| title_full_unstemmed | Monckeberg’s Calcification as a Clinical Mimicker of Temporal Arteritis: A Case Report |
| title_short | Monckeberg’s Calcification as a Clinical Mimicker of Temporal Arteritis: A Case Report |
| title_sort | monckeberg s calcification as a clinical mimicker of temporal arteritis a case report |
| topic | monckeberg medial calcification persistent headache temporal artery biopsy |
| url | https://www.jcdr.net/articles/PDF/18803/66362_CE[Ra1]_F(SHU)_QC&REF(KK_RDW)_PF1(AG_KM)_PFA(AG_KM)_PN(KM).pdf |
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