Saveuse H, Dorra M, Dechy H, Baglin C, Rouveix E, Betourne C
Service de Médecine interne, Hôpital Ambroise, Boulogne.
Presse Med. 1988 Mar 26;17(11):517-20.
Four cases of histologically proven temporal arteritis presenting with atypical clinical, anatomical or evolutive features and raising nosological problems concerning the type of vasculitis involved are presented. In patients with temporal arteritis, some elements are suggestive of periarteritis nodosa. They include peripheral neurological lesions, renal or pleuro-pulmonary lesions and the histological appearance of the temporal artery. Diagnosing periarteritis nodosa in a case of temporal arteritis leads to a special therapeutic strategy.
本文报告了4例经组织学证实的颞动脉炎病例,这些病例具有非典型的临床、解剖或演变特征,引发了关于所涉及血管炎类型的分类学问题。在颞动脉炎患者中,一些因素提示结节性多动脉炎。这些因素包括周围神经病变、肾脏或胸膜肺部病变以及颞动脉的组织学表现。在颞动脉炎病例中诊断为结节性多动脉炎会导致特殊的治疗策略。