Cordier J F, Rousset H, Sibille M, Pasquier J
Sem Hop. 1979;55(1-2):20-5.
The authors report 7 cases of temporal arteritis, proved by biopsy, with unusual early symptoms. They emphasize dental extraction as a possible incitant of the disease. Diagnosis is very often overlooked when local symptoms of involvment of temporal arteries are lacking. Various head and neck pain, fever of unexplained origin, weight loss, when associated with erythrocyte sedimentation rate greater than 50 mm, should convince the physician to biopsy the temporal artery of people over the age of 60. Steroid therapy must begin as soon as diagnosis is made.
作者报告了7例经活检证实的颞动脉炎病例，这些病例具有不寻常的早期症状。他们强调拔牙可能是该病的诱发因素。当缺乏颞动脉受累的局部症状时，诊断常常被忽视。各种头颈部疼痛、不明原因的发热、体重减轻，若伴有红细胞沉降率大于50mm时，应促使医生对60岁以上的人群进行颞动脉活检。一旦确诊，必须立即开始类固醇治疗。
