Medicine, Launceston General Hospital, Launceston, Tasmania, Australia.
Medicine, Launceston General Hospital, Launceston, Tasmania, Australia
BMJ Case Rep. 2021 Mar 15;14(3):e237743. doi: 10.1136/bcr-2020-237743.
Giant cell arteritis can result in a wide range of symptoms due to the extensive distribution of the external carotid artery. Face and neck swelling and trismus are under-recognised features of giant cell arteritis and can present as the initial symptom prior to the development of classical temporal tenderness and jaw claudication. The lack of awareness of the less common symptoms may result in a late diagnosis of giant cell arteritis, leading to irreversible vision loss. In this paper, we present a case of neck swelling and airway narrowing as the initial manifestation of giant cell arteritis.
巨细胞动脉炎可导致广泛的症状，这是由于颈外动脉分布广泛所致。颜面和颈部肿胀及牙关紧闭是巨细胞动脉炎不常见的特征，可在出现典型颞部触痛和下颌运动障碍之前作为首发症状出现。由于对这些不常见症状认识不足，可能导致巨细胞动脉炎的诊断延迟，从而导致不可逆转的视力丧失。本文报道了一例以颈部肿胀和气道狭窄为首发表现的巨细胞动脉炎。
