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年轻患者的巨细胞动脉炎。临床病例。

Temporal Arteritis in a Young Patient. A Clinical Case.

机构信息

Servicio Medicina Interna. Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España.

Servicio Medicina Interna. Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España.

出版信息

Reumatol Clin (Engl Ed). 2021 May;17(5):297-299. doi: 10.1016/j.reuma.2020.04.010. Epub 2020 May 29.

Abstract

INTRODUCTION

Temporal arteritis is an uncommon disorder in young people. A 39-year-old woman with juvenile temporal arteritis is described and we performed a literature review of all cases of juvenile temporal arteritis described to date.

CASE PRESENTATION

A 39-year-old woman presented with a subcutaneous temporal nodule in the right temple with no other associated symptoms or background and unremarkable physical examination. Ultrasonography of the nodule revealed an anechoic perivascular halo surrounding the temporal artery. The nodule was excised resulting in the patient's recovery. The results of the histopathological study showed features of juvenile temporal arteritis.

CONCLUSIONS

Juvenile temporal arteritis is a very uncommon disorder. Systemic manifestations should be ruled out by physical examination and complementary tests. Histopathology establishes the definitive diagnosis. Treatment is surgical excision and a follow-up should be conducted to rule out complications.

摘要

简介

青少年型颞动脉炎在年轻人中较为罕见。本文描述了一例 39 岁的女性青少年型颞动脉炎患者,并对迄今为止所有描述的青少年型颞动脉炎病例进行了文献复习。

病例介绍

一位 39 岁的女性患者右侧颞部出现皮下颞动脉结节,无其他相关症状或背景,体格检查无明显异常。结节的超声检查显示颞动脉周围有一个无回声的血管周围晕环。切除结节后患者痊愈。组织病理学研究结果显示为青少年型颞动脉炎的特征。

结论

青少年型颞动脉炎是一种非常罕见的疾病。通过体格检查和补充检查排除全身表现。组织病理学检查可明确诊断。治疗方法是手术切除,应进行随访以排除并发症。

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