颞动脉炎伴局灶性硬脑膜炎：一种具有欺骗性的关联。

Temporal arteritis with focal pachymeningitis: a deceptive association.

作者信息

Kutty Raja K, Maekawa Michitaka, Kawase Tsukasa, Fujii Naoko, Kato Yoko

机构信息

Department of Neurosurgery, Government Medical College, Trivandrum, India.

Department of Nephrology, Bantane Hospital, Fujita Health University, Nagoya, Japan.

出版信息

Nagoya J Med Sci. 2020 Feb;82(1):143-150. doi: 10.18999/nagjms.82.1.143.

DOI:10.18999/nagjms.82.1.143

PMID:32273643

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7103863/

Abstract

Temporal arteritis is an immunological disorder mostly affecting the elderly population. This frequently occurs in association with other rheumatological diseases of the elderly. The symptoms of Temporal arteritis overlap with other symptoms of commonly occurring diseases in that population. Focal pachymeningitis in association with temporal arteritis is a rare finding and a literature review revealed less than ten cases of similar associations being published. In such instances, this finding can be mistaken for aseptic meningitis and treated erroneously. We present our case, discuss the management and summarize a review of literature about focal pachymeningitis along with temporal arteritis which was managed successfully with steroids and Toclizumab.

摘要

颞动脉炎是一种主要影响老年人群的免疫紊乱疾病。它常与老年人的其他风湿性疾病相关。颞动脉炎的症状与该人群中常见疾病的其他症状重叠。与颞动脉炎相关的局灶性硬脑膜炎是一种罕见发现，文献综述显示发表的类似关联病例不到10例。在这种情况下，这一发现可能被误诊为无菌性脑膜炎并得到错误治疗。我们展示我们的病例，讨论其管理，并总结关于局灶性硬脑膜炎以及颞动脉炎的文献综述，该病例通过类固醇和托珠单抗成功治疗。