Ohta Ryuichi, Okayasu Tatsuhiko, Katagiri Noritaka, Yamane Takafumi, Obata Minami, Sano Chiaki
Communiy Care, Unnan City Hospital, Unnan, JPN.
Family Medicine, International University of Health and Welfare, Tokyo, JPN.
Cureus. 2022 Jul 31;14(7):e27517. doi: 10.7759/cureus.27517. eCollection 2022 Jul.
Giant cell arteritis (GCA) is an autoimmune disease that causes inflammation of the middle and large arteries. Rural areas have many older patients with various symptoms, so large-vessel-type GCA should be managed effectively. Older patients tend to show vague symptoms that cannot be adequately diagnosed and observed. Here, we have encountered a case of a 91-year-old woman with a chief complaint of fatigue diagnosed with large-vessel type GCA in collaboration with a rural clinic. Effective collaboration between physicians in rural hospitals and clinics is necessary for diagnosing and treating large-vessel GCA. In rural areas, without adequate healthcare professionals, physicians should share their abilities and collaborate smoothly to mitigate delays in consultation and treatment. To effectively treat large vessel-type GCA, rural general physicians should be familiar with the clinical course of the disease and treatment for rural comprehensive care.
巨细胞动脉炎（GCA）是一种自身免疫性疾病，可导致中、大动脉炎症。农村地区有许多有各种症状的老年患者，因此大血管型GCA应得到有效管理。老年患者往往表现出模糊的症状，难以得到充分诊断和观察。在此，我们遇到一例91岁女性患者，主要症状为疲劳，通过与一家农村诊所合作诊断为大血管型GCA。农村医院和诊所的医生之间进行有效合作对于诊断和治疗大血管GCA是必要的。在农村地区，由于缺乏足够的医疗专业人员，医生应分享各自的能力并顺利合作，以减少会诊和治疗的延误。为了有效治疗大血管型GCA，农村全科医生应熟悉该疾病的临床病程以及农村综合护理的治疗方法。
