Parsa Pouria, Rios Anthony, Anderson Lisa N, Eidt John F, Gable Dennis, Grimsley Brad
Department of Vascular Surgery, Baylor University Medical Center, Dallas, Tex.
J Vasc Surg Cases Innov Tech. 2017 Jul 17;3(3):119-122. doi: 10.1016/j.jvscit.2017.04.004. eCollection 2017 Sep.
Giant cell arteritis is a large- and medium-vessel vasculitis that has been described as a systemic disease process with disseminated vessel involvement. Advances in vascular imaging techniques have demonstrated that involvement of the large vessels of the upper and lower limbs may be more prevalent than was once thought, although the clinical implications of this are unknown. Isolated lower extremity claudication without systemic or classic cranial symptoms, especially as a primary manifestation of giant cell arteritis, is rare. We present the case of a patient with isolated bilateral limb claudication that rapidly progressed to critical limb ischemia requiring urgent surgical intervention after steroid therapy. Our patient has consented to the publication of this report.
巨细胞动脉炎是一种大中血管血管炎，被描述为一种伴有弥漫性血管受累的全身性疾病过程。血管成像技术的进展表明，上肢和下肢大血管的受累可能比以往认为的更为普遍，尽管其临床意义尚不清楚。孤立性下肢间歇性跛行而无全身或典型的头部症状，尤其是作为巨细胞动脉炎的主要表现，是罕见的。我们报告一例孤立性双侧肢体间歇性跛行患者，在接受类固醇治疗后迅速进展为严重肢体缺血，需要紧急手术干预。我们的患者已同意发表本报告。
