Lovisetto P, La Rosa G F, Biarese V
Minerva Med. 1976 May 9;67(23):1485-93.
Takayasu-Onishi arteritis (T.O.) is similar to Hutchison-Horton arteritis (H.H.) on histological, clinical, laboratory, and pathogenetic grounds. Both probably depend on immunitary dysreactivity, their different clinical expression being attributable to differences in the district involved and the age of the subject. Both are preceded or accompanied by rheumatism. An interesting relation can be made out between temporal arteritis and "rheumatic polymyalgia" or, more aptly, "rhizomelic polymyalgia" (Ballabio, 1975). The latter (of rheumatic origin) may accompany arteritis - Hamrin, indeed, has suggested their unification in the description "arteritic polymyalgia". It is uncertain whether vasculopathy in the course of collagen disease, rheumatic arteritis, and polyarteritis nodosa can be identified with T.O., even though a common immunological basis can be made out. The difference between T.O. and thromboangiitis obliterans, on the other hand, is quite clear at the present time.
高安-大西动脉炎(T.O.)在组织学、临床、实验室及发病机制方面与哈钦森-霍顿动脉炎(H.H.)相似。两者可能都取决于免疫反应异常,其不同的临床表型归因于受累部位及患者年龄的差异。两者发病前或发病时均伴有风湿病。颞动脉炎与“风湿性多肌痛”,或者更确切地说与“近端多肌痛”(巴拉比奥,1975年)之间可发现一种有趣的关系。后者(源于风湿)可能伴随动脉炎——事实上,哈姆林已建议将它们合并在“动脉炎性多肌痛”这一描述中。胶原病、风湿性动脉炎和结节性多动脉炎病程中的血管病变是否可与高安动脉炎相鉴别尚不确定,尽管可以确定它们有共同的免疫学基础。另一方面,目前高安动脉炎与血栓闭塞性脉管炎之间的差异相当明显。