Ayensa C, Echebarría M I, Muñoz J, Egurbide M V, Martín-Mola E, Gaona T
Rev Med Univ Navarra. 1983 Sep;27(3):47-50.
Fourteen patients have been diagnosed for Giant Cell Arteritis by temporal biopsy or clinical criteria in the last five years. Two of them started with atypical symptoms. Polymyalgia Rheumatica was the commonest symptom (71%). Two patients (14%) had an irreversible blindness in eye one. Histologic changes of arteritis were shown by temporal biopsy in 8 cases, one of which had no cranial manifestations. A raised ESR was a constant finding (100%) followed by a alpha-2 globulin increase (93%) and anaemia (57%). One patient had rare complication of this disease: an aortic arch syndrome. The whole group responded well to the treatment.
在过去五年中,有14名患者通过颞动脉活检或临床标准被诊断为巨细胞动脉炎。其中两名患者起病时症状不典型。风湿性多肌痛是最常见的症状(71%)。两名患者(14%)单眼出现不可逆性失明。8例患者通过颞动脉活检显示有动脉炎的组织学改变,其中1例无颅部表现。血沉升高是一个持续存在的表现(100%),其次是α-2球蛋白升高(93%)和贫血(57%)。一名患者出现了这种疾病罕见的并发症:主动脉弓综合征。整个组对治疗反应良好。