García Vázquez J M, Carreira J M, Seoane C, Vidal J J
Diagnostic Radiology Unit, General Hospital of Galicia, University Clinic, Santiago de Compostela, Spain.
Clin Rheumatol. 1999;18(1):61-5. doi: 10.1007/s100670050056.
Giant cell arteritis most often affects the superficial temporal artery. Arterial territories such as the facial, carotid, myometrial and upper and lower limb arteries may be affected. In this paper we describe the case of a 52-year-old patient with upper and lower limb ischaemia who presented with grade III ischaemia in the left lower limb. Giant cell arteritis was diagnosed as responsible for the symptoms. After treatment with corticoids, an angiographic improvement was evidence after 2-year period. The low number of reported cases, the diverse symptoms and varied course make diagnosis of GCA difficult. Therefore, GCA must be taken into consideration in the ischaemia of inferior and superior limbs whether isolated or simultaneous.
巨细胞动脉炎最常累及颞浅动脉。面部、颈动脉、子宫肌层动脉以及上下肢动脉等动脉区域也可能受累。在本文中，我们描述了一名52岁患有上下肢缺血的患者，其左下肢出现III级缺血。巨细胞动脉炎被诊断为导致这些症状的病因。使用皮质类固醇治疗后，2年后血管造影显示病情有所改善。报告病例数量少、症状多样且病程各异使得巨细胞动脉炎的诊断困难。因此，无论是孤立还是同时出现的上下肢缺血，都必须考虑到巨细胞动脉炎的可能。
