Cid Maria C, Prieto-González Sergio, Arguis Pedro, Espígol-Frigolé Georgina, Butjosa Montserrat, Hernández-Rodríguez José, Segarra Marta, Lozano Ester, García-Martínez Ana
Vasculitis Research Unit, Department of Systemic Autoimmune Diseases, Hospital Clínic, and IDIBAPS, University of Barcelona, Barcelona, Spain.
APMIS Suppl. 2009 Jun(127):10-20. doi: 10.1111/j.1600-0463.2009.02471.x.
Although repeatedly reported in the literature, the extracranial involvement by giant-cell arteritis has been considered anecdotal until recent years. The emergence of new or improved imaging techniques along with a closer follow-up of these patients and their increase in life expectancy are beginning to underline that the clinical impact of extracranial involvement by GCA may be more relevant than previously thought. This review focuses on the extent of vascular involvement in GCA as reported by pathology and imaging studies as well as the clinical consequences of imperfect vascular remodelling in various vascular territories.
尽管文献中曾多次报道,但直到近年来,巨细胞动脉炎的颅外受累一直被视为偶发情况。新的或改进的成像技术的出现,以及对这些患者更密切的随访和他们预期寿命的增加,开始凸显出巨细胞动脉炎颅外受累的临床影响可能比以前认为的更为重要。本综述重点关注病理学和影像学研究报告的巨细胞动脉炎血管受累范围,以及不同血管区域血管重塑不完善的临床后果。