巨细胞动脉炎伴单侧动眼神经麻痹。
Giant cell arteritis presenting with unilateral sixth nerve palsy.
机构信息
Rheumatology, Imperial College Healthcare NHS Trust, London, UK
Pathology, Charing Cross Hospital, London, UK.
出版信息
BMJ Case Rep. 2023 May 23;16(5):e253484. doi: 10.1136/bcr-2022-253484.
Abstract
Giant cell arteritis (GCA) usually presents with headache, scalp tenderness and raised inflammatory markers. GCA presenting with a clinically evident cranial nerve palsy is rare and may result in a delayed or missed diagnosis if not suspected. We present the rare case of a woman in her 70s with histologically confirmed GCA presenting with a unilateral sixth nerve palsy, which responded to treatment with high-dose oral prednisolone.
摘要
巨细胞动脉炎（GCA）通常表现为头痛、头皮触痛和炎症标志物升高。以明显颅神经麻痹为表现的 GCA 较为罕见，如果不怀疑该病，可能会导致诊断延迟或漏诊。我们报告了一例罕见的 70 多岁女性病例，经组织学证实为 GCA 伴单侧第六神经麻痹，经大剂量口服泼尼松龙治疗后有效。
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