Schmidt W A, Gromnica-Ihle E
Medical Centre for Rheumatology Berlin-Buch, Karower Strasse 11, 13125 Berlin, Germany.
Rheumatology (Oxford). 2002 Jan;41(1):46-52. doi: 10.1093/rheumatology/41.1.46.
To determine the incidence of temporal arteritis (TA) in patients with polymyalgia rheumatica (PMR) using colour Doppler ultrasonography of the temporal arteries.
Ultrasonography was performed in all 127 consecutive patients with newly diagnosed, active PMR seen between 1994 and 2000 and in 127 age- and sex-matched controls.
Of 102 patients with "pure" PMR, 8% had ultrasonographic findings arousing suspicion of concomitant active TA (specific halo sign and/or positive histology in 7%; histologically proven TA in 4%). Twenty-five patients had clinical signs of both PMR and TA. Histology and sonography were negative in three of these patients. Of the controls, none had a halo sign and four had stenoses.
Ultrasonography of the temporal arteries is a new, non-invasive method of diagnosing concomitant TA in patients with PMR.
采用颞动脉彩色多普勒超声检查确定风湿性多肌痛（PMR）患者颞动脉炎（TA）的发病率。
对1994年至2000年间连续就诊的127例新诊断的活动性PMR患者以及127例年龄和性别匹配的对照者进行超声检查。
在102例“单纯”PMR患者中，8%有超声检查结果提示合并活动性TA（7%有特异性晕征和/或阳性组织学表现；4%为组织学证实的TA）。25例患者有PMR和TA的临床体征。其中3例患者的组织学和超声检查结果为阴性。在对照组中，无人有晕征，4人有狭窄。
颞动脉超声检查是诊断PMR患者合并TA的一种新的非侵入性方法。
