Larson T S, Hall S, Hepper N G, Hunder G G
Ann Intern Med. 1984 Nov;101(5):594-7. doi: 10.7326/0003-4819-101-5-594.
Although many manifestations of giant cell arteries are increasingly recognized, little attention has been paid to respiratory symptoms associated with this disorder. We report the cases of 16 patients with giant cell arteritis who had prominent symptoms related to the respiratory tract including cough, sore throat, and hoarseness. These symptoms were the initial finding in 10 patients and obscured the diagnosis in some instances, but resolved quickly when corticosteroids were given. It is estimated that 9% of patients with giant cell arteritis have prominent respiratory tract symptoms, which are the initial manifestation in 4%. This disorder should be considered in an older patient with a new cough or throat pain without obvious cause.
尽管巨细胞动脉炎的许多表现越来越受到认可，但与这种疾病相关的呼吸道症状却很少受到关注。我们报告了16例巨细胞动脉炎患者的病例，这些患者有与呼吸道相关的突出症状，包括咳嗽、喉咙痛和声音嘶哑。这些症状是10例患者的首发表现，在某些情况下掩盖了诊断，但在给予皮质类固醇后迅速缓解。据估计，9%的巨细胞动脉炎患者有突出的呼吸道症状，其中4%为首发表现。对于无明显原因出现新的咳嗽或喉咙痛的老年患者，应考虑这种疾病。
