Vasculitis & polymyalgia rheumatica

Inflammation of the temporalis muscle and adjacent nerve tissue in giant cell arteritis: expanding the spectrum of inflammatory lesions

Rheumatology (Oxford)Published Histopathological study

Authors' conclusion

Our results expand the spectrum of inflammatory lesions known to be associated with active C-GCA.

Study context

Population
Patients with active cranial GCA fulfilling the 2022 ACR/EULAR classification criteria whose temporal artery biopsy (TAB) specimens contained temporalis muscle
Participants
11 vs 3
Exposure
Active cranial GCA vs non-GCA controls
  • Cranial giant cell arteritis (C-GCA)n = 11
  • Controlsn = 3reference
Outcome
Histopathological features of the temporalis muscle and adjacent nerve tissue
Methodological detailsretrospective clinical data, immunohistochemistry, non-GCA controls, Clinical, laboratory and imaging features retrospectively recorded from patient charts at time of biopsy
  • Retrospective clinical data
  • Immunohistochemistry
  • non-GCA controls
  • Clinical, laboratory and imaging features retrospectively recorded from patient charts at time of biopsy

Main finding

As reported in the abstract

Temporalis muscle (TM) inflammation in C-GCA
10/11
Adjacent nerve fascicle inflammation in C-GCA
7/11
Sarcolemmal MHC class I upregulation in C-GCA
8/8
Sarcolemmal MHC class II upregulation in C-GCA
6/11
αB-Crystallin positivity (pre-necrotic myofibres) in C-GCA
10/11

Observational data: associations, not effects.

Original publication

Inflammation of the temporalis muscle and adjacent nerve tissue in giant cell arteritis: expanding the spectrum of inflammatory lesions. Rheumatology (Oxford). Published 15 October 2024. doi:10.1093/rheumatology/keae538

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