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Case Reports
. 2021 Feb;49(2):164-166.
doi: 10.1002/jcu.22853. Epub 2020 Apr 24.

An atypical lower limb pain revealing a possible systemic venous vasculitis

Claire de Moreuil  1   2 , Bénédicte Rouvière  1 , Schéhérazade Rezig  3 , Alexandra Le Duc-Pennec  4 , Isabelle Quintin-Roué  5 , Luc Bressollette  1   2 , Clément Hoffmann  1   2
Affiliations
Case Reports

An atypical lower limb pain revealing a possible systemic venous vasculitis

Claire de Moreuil et al. J Clin Ultrasound. 2021 Feb.

Abstract

We describe a possible systemic vasculitis involving electively large veins. The patient presented with severe febrile lower limb pain. Diagnosis was made by color Doppler ultrasound (CDU) and confirmed by anatomopathological examination of the long saphenous vein, but not by examination of the temporal artery which was normal. CDU found a unilateral halo sign of one temporal artery and a major wall swelling of the lower limb proximal deep veins. The etiology of this possible vasculitis is still unknown. It could be an unusual clinical presentation of giant cell arteritis with vein involvement but without proven arterial involvement. To confirm this hypothesis, it would be interesting to look systematically for lower limb vein thickening with CDU in patients newly diagnosed with giant cell arteritis who have lower limb pain.

Keywords: halo; ultrasound; vasculitis; vein.

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References

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