Vasculitis & polymyalgia rheumatica

Giant cell arteritis in patients with systemic sclerosis: a case series

Clin Exp RheumatolPublished Retrospective case series

Authors' conclusion

Glucocorticoid treatment for GCA did not precipitate SRC, even in those with prior history of SRC.

Study context

Population
Patients with diagnosis codes for both systemic sclerosis (SSc) and giant cell arteritis (GCA), diagnosed by a rheumatologist, January 1, 1996 to December 31, 2020all female
Participants
8 patients
Outcome
Description of GCA/SSc overlap cases
Methodological detailssingle-institution
  • Single-institution

Main finding

As reported in the abstract

Fully met both ACR/EULAR classification criteria sets
7
Fulfilled GCA criteria and had 8/9 points for SSc criteria plus oesophagogram consistent with SSc
1
Previous history of scleroderma renal crisis (SRC) prior to GC initiation for GCA
3
Episodes of SRC following initiation of GCs
0
Treated with tocilizumab
3
Remained on tocilizumab and in remission
1

Observational data: associations, not effects.

Safety

Diverticular perforation on tocilizumab requiring colonic resection and colostomy
1
Discontinued tocilizumab after a medication-unrelated complication
1

Original publication

Giant cell arteritis in patients with systemic sclerosis: a case series. Clin Exp Rheumatol. Published 14 August 2023. doi:10.55563/clinexprheumatol/pn1o3u

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