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
フルテキストURL	fulltext.pdf 601 KB
著者	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
抄録	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.
キーワード	giant cell arteritis dyspnea hemidiaphragm elevation phrenic nerve paralysis FDG-PET case report
発行日	2025
出版物タイトル	Internal Medicine
出版者	Japanese Society of Internal Medicine
開始ページ	4055-24
ISSN	0918-2918
NCID	AA10827774
資料タイプ	学術雑誌論文
言語	英語
OAI-PMH Set	岡山大学
著作権者	Ⓒ The Japanese Society of Internal Medicine
論文のバージョン	publisher
PubMed ID	39814390
DOI	10.2169/internalmedicine.4055-24
Web of Science KeyUT	001398216000001
関連URL	isVersionOf https://doi.org/10.2169/internalmedicine.4055-24
ライセンス	https://creativecommons.org/licenses/by-nc-nd/4.0/