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巨细胞动脉炎——该转诊给谁?

Giant Cell Arteritis - Who to Refer to?

作者信息

Lim L T, Ah-Kee E Y, Strang A, Ferguson A

机构信息

Forth Valley Hospital (NHS Forth Valley), Stirling Road, Larbert, FK5 4WR, United Kingdom.

Monklands Hospital, Monkscourt Ave, Airdrie, North Lanarkshire ML6 0JS, United Kingdom, E-mail:

出版信息

West Indian Med J. 2015 Jun 29;65(2):300-303. doi: 10.7727/wimj.2015.177.

Abstract

Giant cell arteritis is a systemic immune-mediated vasculitis affecting the medium and large arteries. Typical symptoms include new headache, jaw claudication, tender temporal artery, polymyalgia rheumatica, fever and anorexia. Visual loss resulting from giant cell arteritis is an ophthalmic emergency and requires immediate assessment and referral to the ophthalmologist for prompt treatment with steroids. This article provides a systematic approach to the diagnosis and management of giant cell arteritis.

摘要

巨细胞动脉炎是一种影响中、大动脉的全身性免疫介导性血管炎。典型症状包括新发头痛、颌部间歇性运动障碍、颞动脉压痛、风湿性多肌痛、发热和厌食。巨细胞动脉炎导致的视力丧失是眼科急症,需要立即评估并转诊至眼科医生处,以便使用类固醇进行及时治疗。本文提供了一种诊断和管理巨细胞动脉炎的系统方法。

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