风湿性多肌痛和颞动脉炎。

Polymyalgia rheumatica and temporal arteritis.

作者信息

Friedlander A H, Runyon C

机构信息

University of California, Los Angeles.

出版信息

Oral Surg Oral Med Oral Pathol. 1990 Mar;69(3):317-21. doi: 10.1016/0030-4220(90)90292-z.

DOI:10.1016/0030-4220(90)90292-z

PMID:2138275

Abstract

Polymyalgia rheumatica and temporal arteritis are separate but overlapping rheumatic diseases commonly seen among elderly persons. Polymyalgia rheumatica is characterized by upper body and trunk myalgias/arthralgias and an elevation in erythrocyte sedimentation rate. In about half of patients, temporal arteritis begins after polymyalgia rheumatica. Temporal arteritis is a systemic granulomatous disease that predominantly affects branches of the carotid artery. Claudication of the muscles of mastication and a painful burning tongue may develop during temporal arteritis or be the initial presenting symptoms. Recognition that these orofacial manifestations may be part of the disease process is mandatory because one third of patients with untreated temporal arteritis may go blind.

摘要

风湿性多肌痛和颞动脉炎是常见于老年人的两种独立但又相互重叠的风湿性疾病。风湿性多肌痛的特征是上身和躯干的肌痛/关节痛以及红细胞沉降率升高。约一半患者的颞动脉炎在风湿性多肌痛之后发病。颞动脉炎是一种主要影响颈动脉分支的系统性肉芽肿性疾病。在颞动脉炎期间可能会出现咀嚼肌跛行和舌部疼痛烧灼感，也可能是最初的症状表现。必须认识到这些口面部表现可能是疾病过程的一部分，因为三分之一未经治疗的颞动脉炎患者可能会失明。