Loo Zhou Yaw, Thwaites Stephen, Kyaw Phyo
1Department of Vascular Surgery, Box Hill Hospital, Melbourne, Victoria, Australia.
Vasc Endovascular Surg. 2013 Nov;47(8):660-2. doi: 10.1177/1538574413503563. Epub 2013 Sep 4.
A 62-year-old woman presented with ischemic pain of her lower limb on 2 occasions, without upper limb or cranial vessel involvement. She was treated with open bypass of her left lower limb when she presented with critical limb ischemia during her second admission. Although bilateral temporal artery biopsies were negative, superficial femoral artery biopsy at the time of surgery confirmed the diagnosis of giant cell arteritis. Corticosteroid therapy was promptly commenced.
一名62岁女性两次出现下肢缺血性疼痛，未累及上肢或颅血管。她在第二次入院时因严重肢体缺血接受了左下肢开放旁路手术治疗。尽管双侧颞动脉活检结果为阴性，但手术时的股浅动脉活检确诊为巨细胞动脉炎。随即开始使用皮质类固醇治疗。
