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系统性红斑狼疮患者合并颅外巨细胞动脉炎1例罕见病例

A Rare Case of Extracranial Giant Cell Arteritis in a Patient With Systemic Lupus Erythematosus.

作者信息

Vergara-Serpa Oscar Vicente, Vega Fernández Liliana Margarita, Mozo Polo Yuleidis Del Carmen, Agudelo Carlos Alberto, Mantilla Marta Juliana, Pulido Sandra, Santacruz Juan Camilo

机构信息

Rheumatology Department, Universidad Pontificia Bolivariana, Medellín, COL.

Faculty of Medicine, Universidad Libre, Barranquilla, COL.

出版信息

Cureus. 2024 Oct 16;16(10):e71634. doi: 10.7759/cureus.71634. eCollection 2024 Oct.

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disease that affects multiple organs, and its coexistence with Giant Cell Arteritis (GCA) is extremely rare. We present, to our knowledge, the first reported case of a 56-year-old woman with SLE and extracranial GCA who presented with chest pain as the cardinal symptom. The diagnosis was subsequently confirmed by imaging studies, ruling out Takayasu arteritis and SLE-related vasculitis. She required treatment with glucocorticoids and tocilizumab, showing a satisfactory evolution. Accurate diagnosis was key to preventing serious vascular complications and achieving favorable clinical recovery.

摘要

系统性红斑狼疮(SLE)是一种影响多个器官的自身免疫性疾病,它与巨细胞动脉炎(GCA)共存极为罕见。据我们所知,我们报告了首例56岁患有SLE和颅外GCA的女性病例,该患者以胸痛为主要症状。随后通过影像学检查确诊,排除了大动脉炎和SLE相关血管炎。她需要接受糖皮质激素和托珠单抗治疗,病情进展令人满意。准确诊断是预防严重血管并发症和实现良好临床康复的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d185/11567006/bec3c31dc0c2/cureus-0016-00000071634-i01.jpg

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