Grazioli-Gauthier Lorenzo, Marcoli Natalie, Vanini Gianluca, Bernasconi Enos, Degabriel Dea
Department of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Department of Rheumatology, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Eur J Case Rep Intern Med. 2021 Feb 9;8(3):002254. doi: 10.12890/2021_002254. eCollection 2021.
Giant cell arteritis (GCA), or Horton's arteritis, presenting solely as fever is very rare. Usually, it manifests with typical features such as visual problems, headache and jaw claudication, or it can be associated with polymyalgia rheumatica. We describe the case of a patient with GCA who presented only with prolonged fever, the cause of which was not determined by diagnostic tests.
Fever may be the only symptom of giant cell arteritis (GCA).It is important to consider GCA in the differential diagnosis of fever of unknown origin as early diagnosis is crucial for prompt treatment and to prevent catastrophic complications such as vision loss or stroke.Temporal artery biopsy remains the gold standard for diagnosing GCA.
巨细胞动脉炎（GCA），即 Horton 动脉炎，仅表现为发热的情况非常罕见。通常，它会表现出视觉问题、头痛和颌部间歇性运动障碍等典型特征，或者可能与风湿性多肌痛相关。我们描述了一例仅表现为长期发热的 GCA 患者病例，诊断检查未确定其发热原因。
发热可能是巨细胞动脉炎（GCA）的唯一症状。在不明原因发热的鉴别诊断中考虑 GCA 很重要，因为早期诊断对于及时治疗以及预防视力丧失或中风等灾难性并发症至关重要。颞动脉活检仍然是诊断 GCA 的金标准。
