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颞动脉炎、干燥综合征及混合性疼痛成分在一位老年糖尿病患者中的表现:基于病例报告的系统评价

Temporal arteritis, Sjögren's syndrome and mixed pain components as manifestations in a diabetic older adult: systematic review based on a case report.

作者信息

Runzer-Colmenares Fernando M, Falvy-Bockos Ian, Chambergo-Michilot Diego

机构信息

School of Human Medicine, Faculty of Health Sciences, Scientific University of the South, Lima, Peru.

Faculty of Human Medicine, University of San Martín de Porres, Lima, Peru.

出版信息

Reumatologia. 2020;58(3):179-183. doi: 10.5114/reum.2020.96684. Epub 2020 Jun 29.

Abstract

Temporal arteritis (TA) is an inflammatory vascular disease common in the European population. It is mainly characterized by sudden onset headache. TA is rarely associated with other autoimmune diseases, such as Sjögren's syndrome (SS). We present the case of a Peruvian 71 year-old man with SS history, who was admitted to the emergency department due to severe headache evolved in 4 days, periocular pain and right ptosis. The authors also performed a systematic review of case reports or case series of patients diagnosed with both TA and SS. This temporal arteritis case is an atypical presentation because headache was characterized by mixed nociceptive and neuropathic pain components. Despite the infrequency, new studies should be carried out to identify comorbidities in TA patients.

摘要

颞动脉炎(TA)是一种在欧洲人群中常见的炎症性血管疾病。其主要特征为突发头痛。TA很少与其他自身免疫性疾病相关,如干燥综合征(SS)。我们报告了一例有SS病史的71岁秘鲁男性病例,该患者因4天内出现的严重头痛、眼周疼痛和右眼上睑下垂而入住急诊科。作者还对诊断为TA和SS的患者的病例报告或病例系列进行了系统综述。该颞动脉炎病例表现不典型,因为头痛具有混合性伤害性和神经性疼痛成分。尽管这种情况不常见,但仍应开展新的研究以确定TA患者的合并症。

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