Bomholt C, Dietrichson O, Prause J U
Medicinsk afdeling, Sankt Lukas Stiftelsens Hospital, København.
Ugeskr Laeger. 1992 Oct 19;154(43):2983-4.
A patient with severe giant cell arteritis with involvement of both eyes is presented. The symptoms were partly reversible by treatment with high doses of prednison. Three months previously (having symptoms of polymyalgia rheumatica) she had started treatment with a low dosage of prednison. Biopsies of both temporal arteries showed no signs of giant cell arteritis at that time, and the results of eye examinations were normal. The importance of follow-up on patients with symptoms of polymyalgia rheumatica, even if biopsies of the temporal arteries show no histological changes, is emphasised.
本文介绍了一位患有严重巨细胞动脉炎且双眼受累的患者。通过大剂量泼尼松治疗，症状部分可逆。三个月前（出现风湿性多肌痛症状时），她开始使用低剂量泼尼松治疗。当时双侧颞动脉活检未显示巨细胞动脉炎迹象，眼科检查结果正常。强调了对有风湿性多肌痛症状患者进行随访的重要性，即便颞动脉活检未显示组织学改变。
