<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5552</journal-id>
<journal-title><![CDATA[Revista Salud Uninorte]]></journal-title>
<abbrev-journal-title><![CDATA[Salud, Barranquilla]]></abbrev-journal-title>
<issn>0120-5552</issn>
<publisher>
<publisher-name><![CDATA[Fundación Universidad del Norte, División de Ciencias de la]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-55522024000301126</article-id>
<article-id pub-id-type="doi">10.14482/sun.40.03.103.524</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Atypical Presentation of Giant Cell Arteritis: Case Report]]></article-title>
<article-title xml:lang="es"><![CDATA[Presentación atípica de arteritis de células gigantes: Reporte de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[CONTRERAS ACOSTA]]></surname>
<given-names><![CDATA[RAFAEL]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[SPATH SPATH]]></surname>
<given-names><![CDATA[ALFONSO]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[MARTÍNEZ CARREÑO]]></surname>
<given-names><![CDATA[ERIKA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[ALMANZA GLORIA]]></surname>
<given-names><![CDATA[CAMILO JOSÉ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[PEDROSA ALGARIN]]></surname>
<given-names><![CDATA[MARINA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[GONZÁLEZ QUIROGA]]></surname>
<given-names><![CDATA[JAVIER]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[CASTRO PEREIRA]]></surname>
<given-names><![CDATA[MARÍA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Metropolitana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Metropolitana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Sanitas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Metropolitana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad del Rosario  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidad Metropolitana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>3</numero>
<fpage>1126</fpage>
<lpage>1137</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-55522024000301126&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-55522024000301126&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-55522024000301126&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Giant cell arteritis (GCA) is a granulomatous vasculitis of medium and large arteries that usually affects the aorta and/or its main branches. We report a 66-year-old, female, black, and an active smoker patient. The patient consulted due to diffuse abdominal pain, nausea, vomiting, without neurological manifestations suggestive of intracranial involvement. Vital signs within acceptable limits, pain on palpation in the epigastrium and left flank, and positive renal fist percussion. Computed tomography (CT) angiography showed intramural inflammatory lesions and Stanford type B aortic dissection; therefore, transfer to the intensive care unit was indicated. Vascular surgery suggested intramural hematoma of the descending aorta and ulcer adjacent to the minor celiac trunk. Oral beta-blocker was started. Markers and an electrocardiogram were taken without findings of acute coronary cause. Control CT angiography showed thickening of the aortic walls from the arch to the bifurcation consistent with aortitis with elevated acute phase reactants. Pain improved and the patient was transferred to the general ward. Control images indicated suspicion of GCA vasculitis, so management with corticosteroids was started. Patient reported pain again, and a magnetic resonance (MRI) angiography was requested. It showed diffuse and concentric thickening of the aortic walls from the arch to the bifurcation. This suggested an inflammatory process of the aortic wall. After 7 days of treatment with prednisolone, patient was discharged due to decreased pain and no recurrence of other symptoms. Medication was indicated to continue, and a control MRI angiography was requested. Significant pain and imaging improvement was found, so the corticosteroid dose was tapered until it was discontinued.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La arteritis de células gigantes (ACG) es una vasculitis granulomatosa de arterias medianas y grandes que suele afectar a la aorta y/o a sus ramas principales. Reportamos paciente de sexo femenino, 66 años, raza negra y fumadora activa. La paciente consultó por dolor abdominal difuso, náuseas, vómitos y sin manifestaciones neurológicas sugestivas de afección intracraneal. Signos vitales en límites aceptables, dolor a la palpación en epigastrio y flanco izquierdo, y puño percusión renal positiva. La angiotomografía computarizada (angio-TAC) mostró lesiones inflamatorias intramurales y disección aórtica Stanford tipo B por lo que se indicó traslado a unidad de cuidado intensivo. Cirugía vascular sugirió hematoma intramural de la aorta descendente y úlcera adyacente a tronco celíaco menor. Se inició beta bloqueador oral. Se tomaron marcadores y electrocardiograma sin encontrar causa coronaria aguda. La angio-TAC de control mostró engrosamiento de las paredes aórticas desde el cayado hasta la bifurcación compatible con aortitis con elevación de reactantes de fase aguda. Hubo mejoría del dolor y la paciente fue trasladada a sala general. Las imágenes de control indicaron sospecha de vasculitis por ACG, por lo que se inició manejo con corticoide. La paciente refirió dolor nuevamente, y se solicitó angioresonancia magnética (angio-RM), que mostró engrosamiento difuso y concéntrico de las paredes aórticas desde el cayado hasta la bifurcación. Esto sugirió proceso inflamatorio de la pared aórtica. Luego de 7 días de tratamiento con prednisolona, se dio egreso por disminución del dolor y no recurrencia de otros síntomas. Se indicó continuar con medicamentos y angio-RM de control. La paciente presentó mejoría importante del dolor y mejoría imagenológica, por lo que se disminuyó la dosis de corticoide hasta suspenderlo.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Aortitis]]></kwd>
<kwd lng="en"><![CDATA[computed tomography angiography]]></kwd>
<kwd lng="en"><![CDATA[giant cell arteritis]]></kwd>
<kwd lng="en"><![CDATA[magnetic resonance angiography]]></kwd>
<kwd lng="en"><![CDATA[vasculitis]]></kwd>
<kwd lng="es"><![CDATA[Angiografía por resonancia magnética]]></kwd>
<kwd lng="es"><![CDATA[angiografía por tomografía computarizada]]></kwd>
<kwd lng="es"><![CDATA[aortitis]]></kwd>
<kwd lng="es"><![CDATA[arteritis de células gigantes]]></kwd>
<kwd lng="es"><![CDATA[vasculitis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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