Martínez J, de Letona L, Carreño M C, Bilbao J, Román F, Pérez Maeztu R, Masa C
Servicio de Medicina Interna, Universidad Autónoma, Madrid.
Rev Clin Esp. 1991 Nov;189(7):325-7.
Due to the controversy on the need of performing temporal artery biopsies for the diagnosis of giant cell arteritis (GCA), we have reviewed 204 biopsies of temporal arteries as well as the clinical histories of the 190 patients. Patients without local manifestations were excluded from this study. From the 173 remaining patients, 54 presented a diagnostic biopsy of GCA. The 119 patients with a negative biopsy were divided into different groups according to the final diagnosis. From our data we could not find a clinical pattern which could permit the prediction of biopsy positiveness. We could not find either any clinical entity in the nondiagnostic group which would permit to exclude a diagnosis before performing the biopsy. We consider that the biopsy of the temporal artery can not be avoided nowadays and that it represents the only decisive diagnostic method of GCA.
由于在巨细胞动脉炎（GCA）诊断中进行颞动脉活检必要性存在争议，我们回顾了204例颞动脉活检以及190例患者的临床病史。无局部表现的患者被排除在本研究之外。在剩余的173例患者中，54例经诊断性活检确诊为GCA。119例活检阴性的患者根据最终诊断分为不同组。从我们的数据中，我们找不到一种能够预测活检阳性的临床模式。在非诊断组中，我们也找不到任何临床特征可以在活检前排除诊断。我们认为，如今颞动脉活检无法避免，它是GCA唯一决定性的诊断方法。
