Papadakis M A, Schwartz N D
Arch Intern Med. 1986 Nov;146(11):2283-4.
We describe a 72-year-old woman with classic presentation of polymyalgia rheumatica and an elevated erythrocyte sedimentation rate. After treatment with low-dose corticosteroids and normalization of the sedimentation rate, hematocrit, and serum alkaline phosphatase, she developed symptoms and biopsy proved temporal arteritis. In patients with polymyalgia rheumatica and an initially elevated sedimentation rate, normalization of the sedimentation rate with corticosteroid therapy does not exclude the need for temporal artery biopsy if the symptoms warrant it.
我们描述了一位72岁女性，她有风湿性多肌痛的典型表现且红细胞沉降率升高。在接受低剂量皮质类固醇治疗以及红细胞沉降率、血细胞比容和血清碱性磷酸酶恢复正常后，她出现了症状，活检证实为颞动脉炎。对于患有风湿性多肌痛且最初红细胞沉降率升高的患者，如果症状需要，皮质类固醇治疗使红细胞沉降率恢复正常并不排除进行颞动脉活检的必要性。
