MedicinePediatricsSurgeryPediatric PathologyPediatric RheumatologyVascular SurgeryPediatric VasculitisTemporal Artery DiseaseVascular PathologyGiant Cell LesionsRecurrence After Surgical ExcisionTemporal ArteritisVascular InvolvementYoung Adulthood
Juvenile temporal arteritis (JTA) is an uncommon nongiant cell arteritis of the superficial temporal artery occurring exclusively in older children and young adults without a history of trauma or evidence of systemic disease or localized symptoms. Of the 6 cases reported to date, there has been no recurrence after a simple surgical excision of the nodular artery for cosmetic reasons. We describe the first known case of bilateral JTA in a 21-year-old man and differential diagnoses are discussed to distinguish JTA from the classic giant cell (temporal) arteritis of the elderly, which requires corticosteroid drug treatment.