Giant-cell arteritis of the female genital tract

J Intern Med. 1994 Sep;236(3):345-7. doi: 10.1111/j.1365-2796.1994.tb00806.x.


A 56-year-old woman with long-lasting fever of unknown origin was diagnosed as having a giant-cell arteritis of the genital tract with no evidence of temporal arteritis. Diagnosis relied on pathological examination, which showed a segmental panarteritis of ovaries, myometrium, endometrium and uterus cervix. Corticosteroid therapy led to clinical cure within a few weeks. Twenty-five cases of giant-cell arteritis of the female genital tract have been published of which only four were associated with temporal arteritis. We recommend that such a diagnosis should be considered in women presenting with long-lasting fever of unknown origin, even in the absence of temporal arteritis and the clinical evidence of genital abnormalities.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Diagnosis, Differential
  • Female
  • Fever / etiology
  • Genital Diseases, Female / complications
  • Genital Diseases, Female / diagnosis*
  • Giant Cell Arteritis / complications
  • Giant Cell Arteritis / diagnosis*
  • Humans
  • Middle Aged