Tarnoff J F, Pearlman E, Balkoura M H, Venkataraman M
Department of Surgery, Mount Sinai Hospital Medical Center, Chicago, IL.
J Cardiovasc Surg (Torino). 1990 May-Jun;31(3):375-9.
Giant cell arteritis is a rare, poorly understood, and often misdiagnosed entity. A case is reported of giant cell arteritis in a 30-year-old white male who developed severe bilateral peripheral claudication affecting both legs. The erythrocyte sedimentation rate (ESR) was markedly elevated. The diagnosis of vasculitis was established by histology postoperatively following exploration of both superficial femoral arteries and the placement of a reversed saphenous vein bypass graft to the right leg. Biopsy of the temporal artery revealed no pathology. The patient has been completely asymptomatic postoperatively and has resumed all previous normal activities. This condition has persisted in spite of a failed graft determined by an arteriogram performed 3 months after surgery. He has been treated with steroids continuously since the procedure.
巨细胞动脉炎是一种罕见、了解甚少且常被误诊的病症。本文报告了一例30岁白人男性的巨细胞动脉炎病例，该患者出现严重的双侧下肢外周间歇性跛行。红细胞沉降率（ESR）显著升高。通过对双侧股浅动脉进行探查并为右腿置入一条逆行大隐静脉搭桥移植物后，术后经组织学检查确立了血管炎的诊断。颞动脉活检未发现病变。该患者术后完全无症状，已恢复之前的所有正常活动。尽管术后3个月进行的血管造影显示移植物失败，但这种情况仍持续存在。自手术以来，他一直持续接受类固醇治疗。
