Hirose Koki, Kanzawa Yohei, Sano Nobuya, Tsuruta Keishiro, Mizuki Shimpei, Nakajima Takahiro, Ishimaru Naoto, Kinami Saori
Department of General Internal Medicine, Akashi Medical Center, Japan.
Department of Pathology, Akashi Medical Center, Japan.
Intern Med. 2025 Mar 15;64(6):959-963. doi: 10.2169/internalmedicine.3840-24. Epub 2024 Aug 10.
Giant cell arteritis (GCA) can result in visual loss and other sequelae. An 81-year-old man presented with a one-week history of fever. He had bilateral temporal headache, jaw claudication, tenderness of the temporal arteries and a recent skin rash. A temporal artery biopsy showed typical GCA, but the symptoms were self-limiting. We continued close observation, without administering prednisolone treatment. Five months later, the symptoms did not recur, and prednisolone again was not administered. Our patient presented with an atypical course of GCA that created a clinical dilemma. The final diagnosis was self-limiting GCA.
巨细胞动脉炎（GCA）可导致视力丧失和其他后遗症。一名81岁男性，有一周的发热病史。他双侧颞部头痛、咀嚼肌间歇性运动障碍、颞动脉压痛，近期出现皮疹。颞动脉活检显示为典型的GCA，但症状为自限性。我们持续密切观察，未给予泼尼松龙治疗。五个月后，症状未复发，也未再次给予泼尼松龙治疗。我们的患者表现出非典型的GCA病程，造成了临床困境。最终诊断为自限性GCA。
