Torisu Yuichi, Horai Yoshiro, Michitsuji Tohru, Kawahara Chieko, Mori Takahiro, Iwanaga Nozomi, Izumi Yasumori, Kawakami Atsushi
Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center, Japan.
Department of Rheumatology, National Hospital Organization Nagasaki Medical Center, Japan.
Intern Med. 2019 Apr 15;58(8):1173-1177. doi: 10.2169/internalmedicine.1978-18. Epub 2018 Dec 18.
We report the case of an 80-year-old man with generalized granuloma annulare (GGA) who subsequently developed giant cell arteritis (GCA). Steroid treatment was effective for both diseases in this case. Although cases of concomitant GGA and GCA have rarely been reported, previous studies suggest that common histological characteristics underlie the two diseases. It is therefore necessary to recognize that GGA can be complicated by GCA, particularly when typical symptoms, such as headache and visual disturbance, are present.
我们报告了一例80岁患有泛发性环状肉芽肿（GGA）的男性患者，该患者随后发展为巨细胞动脉炎（GCA）。在该病例中，类固醇治疗对这两种疾病均有效。尽管GGA和GCA同时存在的病例鲜有报道，但先前的研究表明这两种疾病具有共同的组织学特征。因此，有必要认识到GGA可能并发GCA，尤其是当出现头痛和视觉障碍等典型症状时。
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