Vilaseca J, Vila J, Fort J, Villalonga C, Ballester M, Bacardí R, Guardia J
Rev Med Univ Navarra. 1979 Jun;23(2):61-5.
Clinical and biological characteristics are studied in 16 patients with polymyalgia arteritica. 12 of them were diagnosed by biopsy of the temporal artery and the other 4 because they presented clinical, biological data and a high response to corticosteroids. There were no differences according to sex. Most patients (75%) had symptoms since 1-6 months, headache being the most common (75%). Fever (56%), polymyalgia (50%), weight loss (37%), intermittent claudication, loss of vision and arthritis (12%) were the symptoms seen in these patients. ERS was high in all cases, hemoglobin was less than 8 g/100 ml in 8 cases and an increase of alfa-2-globuline was found in 8 patients. Temporal artery palpation was abnormal in 11 patients. Two of 5 patients who presented a normal arterial palpation had a positive biopsy. All patients received 6-metil-prednisolone. 3 are well after 3, 4 and 6 months therapy. 8 are also well but receiving small doses of steroids as treatment.
对16例颞动脉炎患者的临床和生物学特征进行了研究。其中12例通过颞动脉活检确诊,另外4例则是根据临床、生物学数据以及对皮质类固醇的高反应性确诊。按性别无差异。大多数患者(75%)症状出现1至6个月,最常见的症状是头痛(75%)。这些患者出现的症状有发热(56%)、多肌痛(50%)、体重减轻(37%)、间歇性跛行、视力丧失和关节炎(12%)。所有病例血沉均高,8例血红蛋白低于8 g/100 ml,8例患者α-2球蛋白升高。11例患者颞动脉触诊异常。5例动脉触诊正常的患者中有2例活检呈阳性。所有患者均接受6-甲基泼尼松龙治疗。3例患者在治疗3、4和6个月后情况良好。8例患者情况也良好,但接受小剂量类固醇治疗。