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Varicella zoster virus in the temporal artery of a patient with giant cell arteritis.

Abstract：

:We recently detected varicella zoster virus (VZV) in the temporal arteries (TA) of 5/24 patients with clinically suspect giant cell arteritis (GCA) whose TAs were GCA-negative pathologically; in those GCA-negative, VZV+TAs, virus antigen predominated in the arterial adventitia, but without medial necrosis and multinucleated giant cells. During our continuing search for VZV antigen in GCA-negative TAs, in the TA of one subject, we found abundant VZV antigen, as well as VZV DNA, in multiple regions (skip areas) of the TA spanning 350 μm, as well as in skeletal muscle adjacent to the infected TA. Additional pathological analysis of sections adjacent to those containing viral antigen revealed inflammation involving the arterial media and abundant multinucleated giant cells characteristic of GCA. Detection of VZV in areas of the TA with pathological features of GCA warrants further correlative pathological-virological analysis of VZV in GCA.

journal_name

J Neurol Sci

journal_title

Journal of the neurological sciences

authors

Nagel MA,Khmeleva N,Boyer PJ,Choe A,Bert R,Gilden D

doi

10.1016/j.jns.2013.09.034

subject

Has Abstract

pub_date

2013-12-15 00:00:00

pages

228-30

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(13)02943-2

journal_volume

335

pub_type

杂志文章

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