Vidal E, Liozon F, Rogues A M, Cransac M, Berdha J F, Liozon E
Department of Internal Medicine, University of Limoges, France.
J Rheumatol. 1992 Aug;19(8):1312-4.
We describe the case of a 41-year-old man who presented with clinical and histopathologic evidence of temporal artery lesions associated with the Churg-Strauss syndrome. Pathological examination of the temporal artery showed panarteritis without giant cell formation or fibrinoid necrosis. We review the world literature concerning the vasculitides with features that overlap giant cell arteritis (GCA) and polyarteritis nodosa (PAN) and classify into 2 sub-groups PAN with unusual temporal artery localization and GCA with variably disseminated arterial injuries. These cases emphasize the fact that not all arteritis involving the temporal arteries is GCA. Only 3 cases with temporal artery involvement and concurrent Churg-Strauss syndrome have been published.
我们描述了一名41岁男性的病例，该患者有与Churg-Strauss综合征相关的颞动脉病变的临床和组织病理学证据。颞动脉的病理检查显示为全动脉炎，无巨细胞形成或纤维素样坏死。我们回顾了世界文献中关于具有与巨细胞动脉炎（GCA）和结节性多动脉炎（PAN）重叠特征的血管炎，并将其分为2个亚组：具有不寻常颞动脉定位的PAN和具有不同程度动脉损伤扩散的GCA。这些病例强调了并非所有累及颞动脉的动脉炎都是GCA这一事实。仅有3例累及颞动脉并并发Churg-Strauss综合征的病例已发表。
