Hoen B, Baty V, Aymard B, Judlin P, Foliguet B, Canton P
Department of Infectious and Tropical Diseases, Brabois Hospital, Nancy, France.
J Intern Med. 1994 Sep;236(3):345-7. doi: 10.1111/j.1365-2796.1994.tb00806.x.
A 56-year-old woman with long-lasting fever of unknown origin was diagnosed as having a giant-cell arteritis of the genital tract with no evidence of temporal arteritis. Diagnosis relied on pathological examination, which showed a segmental panarteritis of ovaries, myometrium, endometrium and uterus cervix. Corticosteroid therapy led to clinical cure within a few weeks. Twenty-five cases of giant-cell arteritis of the female genital tract have been published of which only four were associated with temporal arteritis. We recommend that such a diagnosis should be considered in women presenting with long-lasting fever of unknown origin, even in the absence of temporal arteritis and the clinical evidence of genital abnormalities.
一名56岁长期不明原因发热的女性被诊断为患有生殖道巨细胞动脉炎，无颞动脉炎证据。诊断依靠病理检查，结果显示卵巢、子宫肌层、子宫内膜和子宫颈呈节段性全动脉炎。皮质类固醇治疗在几周内使病情临床治愈。已发表了25例女性生殖道巨细胞动脉炎病例，其中仅4例与颞动脉炎相关。我们建议，对于出现长期不明原因发热的女性，即使没有颞动脉炎及生殖器异常的临床证据，也应考虑这一诊断。
