Steigerwalt R D, Cesarone M R, Laurora G, Belcaro G, De Sanctis M T, Incandela L, Christopoulos V
Angiology and Vascular Surgery Center, Pierangeli Clinic, Pescara, Italy.
Int Angiol. 1994 Dec;13(4):286-9.
A patient with biopsy negative giant cell arteritis was examined and treated by our group. Since in some cases the visual loss in this disease is due to a central retinal artery occlusion, a technique to evaluate the blood flow velocity in this artery would be useful. The Duplex scanner was utilized by us in this patient to study the blood flow velocity of the central retinal artery. The flow velocity was reduced. The patient was treated with systemic steroids which lead to clinical and symptomatic improvement. After the treatment with steroids the Duplex scanner was again used to study the flow velocity of the central retinal artery. The blood flow velocity improved. We think that Doppler ultrasonography may be useful in the diagnosis of and in monitoring the treatment of some cases of giant cell arteritis.
我们团队对一名活检阴性的巨细胞动脉炎患者进行了检查和治疗。由于在某些情况下，这种疾病导致的视力丧失是由于视网膜中央动脉阻塞，因此评估该动脉血流速度的技术将很有用。我们在该患者中使用双功扫描仪来研究视网膜中央动脉的血流速度。血流速度降低。患者接受全身类固醇治疗，临床症状得到改善。类固醇治疗后，再次使用双功扫描仪研究视网膜中央动脉的血流速度。血流速度有所改善。我们认为多普勒超声检查可能有助于某些巨细胞动脉炎病例的诊断和治疗监测。
