Malmvall B E, Bengtsson B A, Alestig K, Bojs G, Iwarson S
Postgrad Med. 1980 Jan;67(1):141-3, 146-7, 150. doi: 10.1080/00325481.1980.11715343.
In a prospective study, 68 hospitalized patients were diagnosed as having giant cell arteritis. Temporal artery biopsy was performed in all patients and showed histologic evidence of arteritis in 42 (62%). Twenty-six patients had a negative biopsy but met the clinical criteria for the diagnosis. Four different clinical pictures were recognized. Thirteen patients (19%) had symptoms of localized temporal arteritis without muscular discomfort. The polymyalgia rheumatica syndrome without signs of localized arteritis was seen in 33 patients (49%). Seventeen (25%) had symptoms of both polymyalgia rheumatica and temporal arteritis. Five patients (7%) had general symptoms only, such as fever, anorexia, and fatigue, without muscular or arteritic symptoms.
在一项前瞻性研究中，68名住院患者被诊断为巨细胞动脉炎。所有患者均接受了颞动脉活检，其中42例（62%）显示有动脉炎的组织学证据。26例患者活检结果为阴性，但符合诊断的临床标准。识别出四种不同的临床表现。13例患者（19%）有局限性颞动脉炎症状，无肌肉不适。33例患者（49%）出现无局限性动脉炎体征的风湿性多肌痛综合征。17例（25%）同时有风湿性多肌痛和颞动脉炎症状。5例患者（7%）仅有发热、厌食和疲劳等全身症状，无肌肉或动脉炎症状。
