不明原因发热、巨细胞动脉炎和主动脉夹层。

Fever of unknown origin, giant cell arteritis, and aortic dissection.

作者信息

Hofheinz K, Bertz S, Wacker J, Schett G, Manger B

机构信息

Department of Internal Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University Erlangen-Nürnberg (FAU) and Universitätsklinikum Erlangen, Ulmenweg 18, 91054, Erlangen, Germany.

Institute for Pathology, Friedrich-Alexander University Erlangen-Nürnberg (FAU) and Universitätsklinikum Erlangen, Erlangen, Germany.

出版信息

Z Rheumatol. 2017 Feb;76(1):83-86. doi: 10.1007/s00393-016-0245-5.

DOI:10.1007/s00393-016-0245-5

PMID:28074266

Abstract

Giant cell arteritis is one of the most frequent causes of pyrexia of unknown origin after infectious or malignant causes have been ruled out. In this case report we describe a 66-year old female patient, who after five weeks of remitting fever developed a life-threatening, painless severe aortic dissection. The timely use of modern imaging technologies such as magnetic resonance angiography or positron emission computed tomography could in the future be of help to recognize aortic involvement early and to avoid this devastating complication in patients with fever of unknown origin.

摘要

巨细胞动脉炎是排除感染性或恶性病因后不明原因发热最常见的病因之一。在本病例报告中，我们描述了一名66岁女性患者，在持续发热五周后发生了危及生命的无痛性严重主动脉夹层。未来，及时使用磁共振血管造影或正电子发射计算机断层扫描等现代成像技术可能有助于早期识别主动脉受累情况，并避免不明原因发热患者出现这种毁灭性并发症。