Department of Neurology, Alfried-Krupp-von Bohlen und Halbach Hospital, Alfried-Krupp-Strasse 21, 45117 Essen, Germany.
Rheumatol Int. 2011 Nov;31(11):1521-3. doi: 10.1007/s00296-010-1690-0. Epub 2010 Dec 16.
Reduction in jaw opening is a neglected symptom of giant cell arteritis (GCA) in clinical practice and in the scientific literature. We describe the case of a 71-year-old woman with GCA who was misdiagnosed as occipital neuritis and craniomandibular dysfunction because of headaches in the occipital region and reduction in jaw opening. The reported case reminds us not to overlook reduction in jaw opening as a symptom to reveal GCA in elderly patients.
张口度减小是巨细胞动脉炎(GCA)在临床实践和科学文献中被忽视的症状。我们描述了一例 71 岁女性 GCA 患者的病例,由于枕部头痛和张口度减小,该患者被误诊为枕神经炎和颅颌关节功能紊乱。本报告病例提醒我们,对于老年患者,不应忽视张口度减小作为揭示 GCA 的症状。