Giant cell arteritis is not an uncommon disease, and its extension is furthermore finely assessed with new-generation PET/CT system. 18F-FDG PET/CT is increasingly used in case of large-vessel vasculitis for optimal diagnosis, activity monitoring (even when treated with interleukin 6 receptor inhibitor), and evaluation damage progression. We reported the case of a 61-year-old woman with common giant cell arteritis pattern on 18F-FDG PET/CT (aorta and large arteries) and uptakes in all aorta branches, mainly impressive and uncommon in the abdomen. After 2 years of therapeutic optimization including IV tocilizumab and monitoring with 18F-FDG PET/CT, a complete metabolical response was assessed. Received for publication July 8, 2020; revision accepted October 6, 2020. Conflicts of interest and sources of funding: none declared. Correspondence to: Pierre-Benoît Bonnefoy, MD, MS, Service de Médecine Nucléaire, CHU de Saint-Etienne – Hôpital Nord, Avenue Albert Raymond, 42055, Saint-E[Combining Acute Accent]tienne, France. E-mail: p.benoit.bonnefoy@chu-st-etienne.fr. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
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