Slany J
Aktuelle Gerontol. 1983 Jan;13(1):19-21.
Six biopsy proven cases of giant-cell arteritis in women beyond the age of 70 years are presented to illustrate the wide range of clinical manifestations of this disease. Besides polymyalgia rheumatica or cranial arteritis the illness may afflict various organs including eye, ear, skin, heart, cerebrum and liver or may mimic a chronic infectious or malignant disease. Diagnosis should be considered in any such cases, especially when laboratory data suggest a chronic infectious disease due to high sedimentation rate, anemia with low serum iron and normal total iron binding capacity and an increase in alpha 2-globulin. Diagnosis can be proven by temporal-artery biopsy or by prompt relief of all symptoms following cortisone treatment.
本文介绍了6例经活检证实的70岁以上女性巨细胞动脉炎病例，以说明该疾病广泛的临床表现。除了风湿性多肌痛或颅动脉炎外，该疾病还可能累及包括眼睛、耳朵、皮肤、心脏、大脑和肝脏在内的各种器官，或者可能类似慢性感染性疾病或恶性疾病。在任何此类病例中都应考虑诊断，尤其是当实验室数据因血沉率高、血清铁低伴贫血且总铁结合能力正常以及α2球蛋白增加而提示慢性感染性疾病时。颞动脉活检或可的松治疗后所有症状迅速缓解可证实诊断。
