以不明原因发热为表现的高安动脉炎：两例报告及文献复习
Takayasu's arteritis presenting as fever of unknown origin: report of two cases and literature review.
作者信息
Uthman I W, Bizri A R, Hajj Ali R A, Nasr F W, Khalil I M
机构信息
Department of Internal Medicine, Faculty of Medicine, American University of Beirut, Lebanon.
出版信息
Semin Arthritis Rheum. 1999 Feb;28(4):280-5. doi: 10.1016/s0049-0172(99)80023-7.
OBJECTIVES
This study reports two patients with Takayasu's arteritis presenting with a fever of unknown origin (FUO) and reviews the literature on that association.
METHODS
We describe the clinical presentation, course, and outcome of the two patients, and reviewed the medical literature from 1968 till 1997 using MEDLINE and the key words fever, diagnosis, and Takayasu's arteritis.
RESULTS
Takayasu's arteritis is rarely reported as a cause of FUO. Noninvasive diagnostic techniques such as magnetic resonance imaging, computed tomography scanning, gallium-67 scintigraphy, and ultrasonography may help in the diagnosis of Takayasu's arteritis in the prepulseless stage.
CONCLUSION
Takayasu's arteritis should be considered in the differential diagnosis of FUO, especially in young women.
目的
本研究报告了两例以不明原因发热（FUO）为表现的大动脉炎患者，并回顾了关于该关联的文献。
方法
我们描述了这两名患者的临床表现、病程及结局，并使用医学在线数据库（MEDLINE）以及关键词“发热”“诊断”和“大动脉炎”，回顾了1968年至1997年的医学文献。
结果
大动脉炎很少被报道为不明原因发热的病因。诸如磁共振成像、计算机断层扫描、镓-67闪烁扫描和超声检查等非侵入性诊断技术，可能有助于在无脉前期诊断大动脉炎。
结论
在不明原因发热的鉴别诊断中应考虑大动脉炎，尤其是在年轻女性中。
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