Mickley V, Friedrich J M, Sunder-Plassmann L
Klinik für Gefäss-, Thorax- und Herzchirurgie, Universität Ulm.
Rofo. 1992 Dec;157(6):579-83. doi: 10.1055/s-2008-1033066.
Three women of 66, 68 and 69 years of age presented with chronic arm claudication caused by giant cell arteritic stenoses and occlusions of their arm arteries. In the early stage of the disease, arteriography revealed smooth or undulatory long-segment narrowings. Subsequently, spindle-shaped filiform stenoses developed. They were unilateral in one patient, bilateral-symmetric in another and like a string of beads in the third. In the end, untreated arteritis resulted in smoothly tapered occlusions of the diseased vessels. In patients with symptoms and signs suggestive of giant cell arteritis, typical arteriographic findings may confirm the diagnosis even if histopathological proof is lacking.
三名年龄分别为66岁、68岁和69岁的女性因巨细胞动脉炎性狭窄和手臂动脉闭塞而出现慢性手臂间歇性跛行。在疾病早期，动脉造影显示为光滑或起伏的长段狭窄。随后，出现了纺锤形丝状狭窄。其中一名患者为单侧病变，另一名患者为双侧对称病变，第三名患者的病变则呈串珠样。最终，未经治疗的动脉炎导致病变血管出现平滑逐渐变细的闭塞。对于有巨细胞动脉炎症状和体征的患者，即使缺乏组织病理学证据，典型的动脉造影表现也可能确诊。
