Landouré Guida, Yalcouyé Abdoulaye, Touré Sidi, Coulibaly Thomas, Makadji Mahambé, Guinto Cheick O
Service de Neurologie, CHU Point G, Bamako, Mali.
Faculté de Médecine et d'Odontostomatologie, USTTB, Bamako, Mali.
Mali Med. 2021;36(4):79-80.
Horton's disease is the most common inflammatory disease of the vessels after the age of 50 years. We report here the caseof a 64-year-old male, who presented a chronic frontal headache resistant to usual analgesics. Physical examination found pain on bitemporal pressure, a slight induration of temporal arteries and a bilateral decreased temporal pulse. Biological inflammatory testing was normal. However, Doppler ultrasound revealed bilateral intimal infiltration of the temporal artery, supporting the diagnosis of Horton's disease. Put on corticoids, headaches were completely resolved.
霍顿氏病是50岁以后最常见的血管炎性疾病。我们在此报告一例64岁男性病例，该患者表现为慢性前额头痛，常规镇痛药治疗无效。体格检查发现双侧颞部加压时有疼痛，颞动脉轻度硬结，双侧颞动脉搏动减弱。生物学炎症检测正常。然而，多普勒超声显示颞动脉双侧内膜浸润，支持霍顿氏病的诊断。使用皮质类固醇后，头痛完全缓解。
