Calamia K T, Hunder G G
Arthritis Rheum. 1981 Nov;24(11):1414-8. doi: 10.1002/art.1780241113.
A retrospective study of the histories of 100 patients with biopsy-proven giant cell arteritis was performed. Fifteen of these patients had "fever of unknown origin" as the initial manifestation of this disease. All 15 had normal leukocyte counts; however, they had significantly lower hemoglobulin and albumin levels (P greater than 0.01) and significantly higher platelet counts, erythrocyte sedimentation rates, and alkaline phosphatase values (P congruent to 0.05) compared to the other 85 patients. In 4 patients, random temporal artery biopsies were performed despite persistently negative results from diagnostic evaluations and in the absence of any symptoms or findings suggestive of arteritis.
对100例经活检证实为巨细胞动脉炎患者的病史进行了回顾性研究。其中15例患者以“不明原因发热”作为该病的初始表现。所有15例患者白细胞计数均正常；然而，与其他85例患者相比，他们的血红蛋白和白蛋白水平显著更低（P>0.01），血小板计数、红细胞沉降率和碱性磷酸酶值显著更高（P≈0.05）。4例患者尽管诊断评估结果持续为阴性且无任何提示动脉炎的症状或体征，但仍进行了随机颞动脉活检。
