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Atypical presentation of giant cell arteritis associated with SIADH: a rare association
  1. Sadia Tariq,
  2. Sameh Jonny and
  3. Hanadi Asalieh
  1. General Internal Medicine, East Surrey Hospital, Redhill, UK
  1. Correspondence to Dr Sadia Tariq; drsadiatariq{at}yahoo.com

Abstract

We present here an interesting case of a 67-year-old man with 3 weeks history of lethargy, loss of appetite, generalised weakness and weight loss. Following thorough investigations, occult malignancy was ruled out. Hyponatraemia was a consistent finding which needed further classification. Additional workup including cerebral imaging and neurophysiological studies excluded cerebral vascular events and myopathies. Vasculitis screening was undertaken, and the diagnostic dilemma was revealed by the temporal arteries Doppler ultrasound which showed classical ‘halo sign’. Diagnosis of temporal arteritis was made and linked with syndrome of inappropriate antidiuretic hormone secretion, which appears to be a rare association with few instances on record. Patient was treated with high dose of prednisolone with marked improvement of clinical features.

  • musculoskeletal syndromes
  • endocrine system
  • musculoskeletal and joint disorders

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Footnotes

  • Contributors SJ conceived the idea of reporting the case.The data were collected by both authors. The initial part of the report was written by SJ and reviewed by ST. The discussion part was documented by ST along with finalisation of the manuscript. HA supervised this case during hospital admission and reviewed the final report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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