Vaandrager P E, van der Meij E H, de Visscher J G A M
Ned Tijdschr Tandheelkd. 2019 Nov;126(11):565-570. doi: 10.5177/ntvt.2019.11.19048.
Sometimes it is difficult to diagnose temporal arteritis because the complaints may vary, change in intensity and are not always characteristic. The condition is a cranial form of giant-cell arteritis affecting large and medium-sized arteries. The first manifestation of temporal arteritis can be a sore tongue that does not manifest any abnormalities during a clinical investigation. In a later stage patients sometimes develop ulceration or necrosis of a part of one side of the tongue. Other symptoms can be a recently developed headache, jaw claudication and acute loss of vision. To diagnose temporal arteritis, histological investigation of a biopsy of the temporal artery is carried out. The treatment consists of long-term use of corticosteroids. A patient in your practice with inexplicable pain on one side of the tongue, without clinical abnormalities, or an ulceration of the tongue without an immediately apparent cause may have temporal arteritis.
有时颞动脉炎很难诊断，因为症状可能多种多样，强度会变化，且并不总是具有特征性。这种病症是巨细胞动脉炎的一种颅部形式，会影响大中型动脉。颞动脉炎的首发表现可能是舌头疼痛，临床检查时并无任何异常表现。在后期，患者有时会出现一侧舌部部分区域的溃疡或坏死。其他症状可能包括近期出现的头痛、颌部间歇性运动障碍和急性视力丧失。为诊断颞动脉炎，需对颞动脉活检进行组织学检查。治疗方法是长期使用皮质类固醇。在你的诊所中，一位患者一侧舌头出现无法解释的疼痛，临床无异常，或者舌头溃疡但无明显直接病因，可能患有颞动脉炎。
