Neish P R, Sergent J S
Division of Rheumatology, Vanderbilt University School of Medicine, Nashville, Tenn.
Arch Intern Med. 1991 Feb;151(2):378-80. doi: 10.1001/archinte.151.2.378.
Giant cell (temporal) arteritis is a serious inflammatory condition that can lead to blindness, stroke, or other adverse sequelae if not properly treated. An elevated erythrocyte sedimentation rate has traditionally been emphasized as a criterion for making this diagnosis. Delays in diagnosis and unnecessary testing may occur when a patient presents with a normal erythrocyte sedimentation rate and a clinical history consistent with this condition. We describe a patient with giant cell arteritis who presented with a normal erythrocyte sedimentation rate and who subsequently developed devastating central nervous system complications.
巨细胞（颞）动脉炎是一种严重的炎症性疾病，如果治疗不当，可导致失明、中风或其他不良后遗症。传统上，红细胞沉降率升高一直被强调作为诊断该病的标准。当患者红细胞沉降率正常但临床病史符合该病时，可能会出现诊断延迟和不必要的检查。我们描述了一名红细胞沉降率正常的巨细胞动脉炎患者，该患者随后出现了严重的中枢神经系统并发症。
