Churchill Christopher H, Abril Andy, Krishna Murli, Callman Mark L, Ginsburg William W
Division of Rheumatology, Mayo Clinic Jacksonville, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
J Rheumatol. 2003 Oct;30(10):2283-6.
We describe two patients with temporal artery biopsy-proven amyloidosis presenting with symptoms of jaw claudication, visual disturbance, and proximal muscle stiffness suggestive of giant cell arteritis (GCA) and polymyalgia rheumatica. At the onset of disease, neither patient had other characteristic symptoms to suggest primary amyloid. We point out similarities between GCA and primary amyloid that can lead to confusion in diagnosis.
我们描述了两名经颞动脉活检证实为淀粉样变性的患者，他们表现出颌跛行、视觉障碍以及提示巨细胞动脉炎（GCA）和风湿性多肌痛的近端肌肉僵硬症状。在疾病发作时，两名患者均无其他提示原发性淀粉样变的特征性症状。我们指出GCA与原发性淀粉样变之间的相似之处，这些相似之处可能导致诊断上的混淆。
