Turner Kiera Brigh, Wideroff Jonathan, Brickman Lawrence
Charles E Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA
General Surgery, Delray Medical Center, Delray Beach, Florida, USA.
BMJ Case Rep. 2021 Nov 2;14(11):e246575. doi: 10.1136/bcr-2021-246575.
Giant cell arteritis is a devastating condition that can lead to permanent vision loss. Early diagnosis is vital to initiate corticosteroid treatment before irreversible visual symptoms develop. This case study examines an 81-year-old woman with a history of polymyalgia rheumatica who initially presented with sore throat and headache. She was ultimately diagnosed with giant cell arteritis. However, her diagnosis was delayed by multiple emergency and outpatient providers who failed to evaluate her for giant cell arteritis. Her story reflects the importance of assessing polymyalgia rheumatica patients for giant cell arteritis even when presenting with more unusual symptoms, such as sore throat.
巨细胞动脉炎是一种严重的疾病，可导致永久性视力丧失。早期诊断对于在不可逆视力症状出现之前启动皮质类固醇治疗至关重要。本病例研究考察了一名81岁有风湿性多肌痛病史的女性，她最初表现为喉咙痛和头痛。她最终被诊断为巨细胞动脉炎。然而，她的诊断被多名急诊和门诊医生延误，这些医生没有对她进行巨细胞动脉炎评估。她的故事反映了即使风湿性多肌痛患者出现更不寻常的症状（如喉咙痛）时，评估其是否患有巨细胞动脉炎的重要性。
