Jipp P, Fehring K
Dtsch Med Wochenschr. 1984 Oct 26;109(43):1635-8. doi: 10.1055/s-2008-1069426.
Among 47 patients with polymyalgia rheumatica there were 30 (63.8%) with temporal giant-cell arteritis. Rapidly progressing visual reduction occurred in 2, acute blindness in 10. Four forms of polymyalgia rheumatica were identified by their different clinical courses, with differing risk of blindness. Those patients with polymyalgia rheumatica and giant-cell arteritis are most endangered who have headaches and neck and shoulder pains, but no or only mild general symptoms.
在47例风湿性多肌痛患者中,有30例(63.8%)患有颞部巨细胞动脉炎。2例出现视力迅速下降,10例急性失明。根据不同的临床病程,鉴别出四种风湿性多肌痛类型,其失明风险各异。患有风湿性多肌痛和巨细胞动脉炎的患者中,头痛、颈部及肩部疼痛但无全身症状或仅有轻微全身症状的患者面临的风险最高。