Kramer M R, Melzer E, Nesher G, Sonnenblick M
Department of Internal Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.
Eur J Respir Dis. 1987 Nov;71(5):430-3.
Temporal arteritis is a well-recognized multi-systemic disease. Pulmonary manifestations, however, are extremely rare. In two patients with biopsy-proven temporal arteritis, lung involvement was observed. One patient presented with multinodular pulmonary lesions, while the second had a diffuse interstitial pattern. Both patients responded well to corticosteroid treatment. In a review of the literature, only four additional cases associating lung involvement with temporal arteritis were found. The possibility of primary pulmonary vasculitis should be considered in elderly patients with temporal arteritis.
颞动脉炎是一种公认的多系统疾病。然而，肺部表现极为罕见。在两名经活检证实为颞动脉炎的患者中，观察到有肺部受累情况。一名患者表现为肺部多发结节性病变，另一名患者则呈现弥漫性间质改变。两名患者对皮质类固醇治疗反应良好。在文献回顾中，仅发现另外4例将肺部受累与颞动脉炎相关联的病例。对于患有颞动脉炎的老年患者，应考虑原发性肺血管炎的可能性。
