Dyspnea with Hemidiaphragm Elevation in a Patient with Giant Cell Arteritis: A Case Report

Asano, Yosuke; Matsumoto, Yoshinori; Kubota, Natsuki; Terajima, Yuya; Matsumoto, Kazuya; Shidahara, Kenta; Hirose, Kei; Nakadoi, Takato; Nawachi, Shoichi; Katayama, Yu; Miyawaki, Yoshia; Katsuyama, Eri; Katsuyama, Takayuki; Takano-Narazaki, Mariko; Sada, Ken-Ei; Wada, Jun

doi:10.2169/internalmedicine.4055-24

Permalink : https://ousar.lib.okayama-u.ac.jp/68319

ID	68319
FullText URL	fulltext.pdf 601 KB
Author	Asano, Yosuke Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Matsumoto, Yoshinori Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Kaken ID researchmap Kubota, Natsuki Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Terajima, Yuya Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Matsumoto, Kazuya Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Shidahara, Kenta Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Hirose, Kei Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Nakadoi, Takato Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Nawachi, Shoichi Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Katayama, Yu Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Miyawaki, Yoshia Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kaken ID publons researchmap Katsuyama, Eri Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Katsuyama, Takayuki Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Takano-Narazaki, Mariko Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Sada, Ken-Ei Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Wada, Jun Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences ORCID Kaken ID publons researchmap
Abstract	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.
Keywords	giant cell arteritis dyspnea hemidiaphragm elevation phrenic nerve paralysis FDG-PET case report
Published Date	2025
Publication Title	Internal Medicine
Publisher	Japanese Society of Internal Medicine
Start Page	4055-24
ISSN	0918-2918
NCID	AA10827774
Content Type	Journal Article
language	English
OAI-PMH Set	岡山大学
Copyright Holders	Ⓒ The Japanese Society of Internal Medicine
File Version	publisher
PubMed ID	39814390
DOI	10.2169/internalmedicine.4055-24
Web of Science KeyUT	001398216000001
Related Url	isVersionOf https://doi.org/10.2169/internalmedicine.4055-24
License	https://creativecommons.org/licenses/by-nc-nd/4.0/