Jundt J W, Mock D
Rheumatology and Internal Medicine, Scott & White Clinic, Temple, TX 76508.
Arthritis Rheum. 1991 Feb;34(2):217-9. doi: 10.1002/art.1780340214.
A retrospective review of 46 patients with biopsy-proven giant cell (temporal) arteritis revealed 8 (17%) whose initial presentation was occipital pain. The most likely etiology of occipital pain in these patients was occipital artery inflammation. A Westergren erythrocyte sedimentation rate less than 40 mm/hour was noted at presentation in 6 of these 8 patients. Giant cell arteritis should be considered in the differential diagnosis of elderly patients who present with occipital pain and demonstrate a normal erythrocyte sedimentation rate.
对46例经活检证实为巨细胞（颞）动脉炎的患者进行回顾性研究发现，其中8例（17%）最初表现为枕部疼痛。这些患者枕部疼痛最可能的病因是枕动脉炎症。这8例患者中有6例在就诊时血沉（魏氏法）低于40毫米/小时。对于出现枕部疼痛且血沉正常的老年患者，鉴别诊断时应考虑巨细胞动脉炎。
