Lim K H, Liam C K, Vasudevan A E, Wong C M
Department of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
Respirology. 1999 Sep;4(3):299-301. doi: 10.1046/j.1440-1843.1999.00195.x.
A 62-year-old man presented with a 3-month history of chronic non-productive cough and unexplained fever. Further questioning revealed that he had headaches and myalgia. Bilateral thickened temporal arteries were noted on physical examination. The erythrocyte sedimentation rate was 96 mm in 1 h. A biopsy specimen of the left temporal artery showed inflammatory changes consistent with the diagnosis of giant cell arteritis. Commencement of prednisolone resulted in rapid and dramatic resolution of his symptoms. Physicians should be aware of respiratory symptoms in patients with giant cell arteritis in order to avoid delay in diagnosis and therapy of this condition.
一名62岁男性，有3个月慢性干咳和不明原因发热病史。进一步询问发现他有头痛和肌痛。体格检查发现双侧颞动脉增厚。红细胞沉降率为1小时96毫米。左侧颞动脉活检标本显示炎症改变，符合巨细胞动脉炎的诊断。开始使用泼尼松龙后，他的症状迅速显著缓解。医生应注意巨细胞动脉炎患者的呼吸道症状，以避免延误该病的诊断和治疗。
