巨细胞动脉炎诊断前的浅表性颅静脉血栓形成

[Superficial cranial venous thromboses preceding the diagnosis of giant cell arteritis].

作者信息

de Coppet H, Lambert M, Charlanne H, Launay D, Morell-Dubois S, Maillard-Lefebvre H, Lamotte C, Cousin M, Hachulla E, Hatron P-Y

机构信息

Service de médecine interne et d'explorations vasculaires, hôpital Claude-Huriez, centre hospitalier régional universitaire, 59037 Lille cedex, France.

出版信息

J Mal Vasc. 2010 Feb;35(1):23-5. doi: 10.1016/j.jmv.2009.09.001. Epub 2009 Oct 30.

DOI:10.1016/j.jmv.2009.09.001

PMID:19879706

Abstract

Temporal arteritis is a large-vessel vasculitis predominantly affecting the external carotid and its branches. Venous thrombosis is rarely found at the onset of temporal arteritis, particularly when venous symptoms precede arterial involvement. We report the case of a 70-year-old woman consulting for bilateral superficial frontal venous thrombosis. Superficial bilateral temporal venous thrombosis occurred under adequate anticoagulation before the onset of arterial symptoms suggestive of temporal arteritis. We then discuss the pathophysiology of venous thrombosis in patients with temporal arteritis.

摘要

颞动脉炎是一种主要累及颈外动脉及其分支的大血管血管炎。在颞动脉炎发病时很少发现静脉血栓形成，尤其是当静脉症状先于动脉受累时。我们报告了一例70岁女性因双侧额部浅静脉血栓形成前来就诊的病例。双侧颞浅静脉血栓形成发生在提示颞动脉炎的动脉症状出现之前，且当时已进行了充分的抗凝治疗。然后我们讨论了颞动脉炎患者静脉血栓形成的病理生理学。