Roth A M, Milsow L, Keltner J L
Arch Ophthalmol. 1984 Jun;102(6):901-3. doi: 10.1001/archopht.1984.01040030721028.
Patients with signs and symptoms of giant cell arteritis may have normal temporal artery biopsy specimens. To study the relationships between signs and symptoms of this disease and the ultimate clinical diagnosis, we reviewed 51 patients who had undergone temporal artery biopsy. The mean age of the patients with abnormal biopsy specimens was higher than that of patients with normal biopsy specimens. We found headache, fever, and jaw claudication were useful symptoms in predicting abnormal biopsy specimens. The ultimate diagnoses of patients with normal biopsy specimens and no response to treatment showed high incidence of malignant neoplasms and diabetes mellitus.
患有巨细胞动脉炎体征和症状的患者颞动脉活检标本可能正常。为了研究这种疾病的体征和症状与最终临床诊断之间的关系，我们回顾了51例接受颞动脉活检的患者。活检标本异常的患者平均年龄高于活检标本正常的患者。我们发现头痛、发热和颌部间歇性运动障碍是预测活检标本异常的有用症状。活检标本正常且对治疗无反应的患者最终诊断显示恶性肿瘤和糖尿病的发生率很高。
