{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:35:30Z","timestamp":1753882530124,"version":"3.41.2"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T00:00:00Z","timestamp":1729123200000},"content-version":"vor","delay-in-days":290,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Rheumatology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>This case represents the first diagnosis of pachymeningitis due to granulomatosis with polyangiitis (GPA) in an elderly Iranian man who initially presented with persistent daily headaches. PCR tests of cerebrospinal fluid for tuberculosis, brucellosis, and fungal infections all yielded negative results. Given the pachymeningitis pattern observed on brain MRI and the absence of infectious and lymphoma diseases, along with positive anti\u2010PR3 and proteinuria (793\u2009mg in a 24\u2010h urine sample), a diagnosis of GPA was established. The patient was treated with five doses of pulse methylprednisolone and one dose of pulse cyclophosphamide (1\u2009g). Additionally, prednisolone 60\u2009mg daily, monthly pulse cyclophosphamide, a daily calcium\u2010D tablet, and alendronate 70\u2009mg weekly were prescribed. Subsequently, the patient\u2019s headaches, hearing loss, and vision loss were completely resolved. GPA should be considered in older individuals with persistent daily headaches, especially when pachymeningitis is evident. The use of contrast\u2010enhanced brain MRI is an essential diagnostic tool in such cases.<\/jats:p>","DOI":"10.1155\/2024\/9699571","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T08:50:00Z","timestamp":1729155000000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Granulomatosis With Polyangiitis Mimicking Temporal Arteritis"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9291-6419","authenticated-orcid":false,"given":"Ali","family":"Dehghan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8710-4292","authenticated-orcid":false,"given":"Mahya Sadat Emami","family":"Meybodi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3129-5066","authenticated-orcid":false,"given":"Shokoofeh","family":"Fooladmotlagh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4361-0587","authenticated-orcid":false,"given":"Mohsen","family":"Zaremehrjardi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1165-7676","authenticated-orcid":false,"given":"Hamidreza","family":"Soltani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedex.2010.03.009"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/840984"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.37715"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-016-3520-6"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2023.103338"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/md.0b013e31829cce35"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1212\/NXI.0000000000200028"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.17570"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2019.10.802"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2014.06.052"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-4422(08)70064-4"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.0000000000207762"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.5402\/2011\/608942"}],"container-title":["Case Reports in Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2024\/9699571","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T15:34:00Z","timestamp":1735918440000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2024\/9699571"}},"subtitle":[],"editor":[{"given":"Constantine","family":"Saadeh","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1155\/2024\/9699571"],"URL":"https:\/\/doi.org\/10.1155\/2024\/9699571","archive":["Portico"],"relation":{},"ISSN":["2090-6889","2090-6897"],"issn-type":[{"type":"print","value":"2090-6889"},{"type":"electronic","value":"2090-6897"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2024-05-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9699571"}}