Evans J M, Vukov L F, Hunder G G
Division of Emergency Medical Services and Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Ann Emerg Med. 1993 Oct;22(10):1633-5. doi: 10.1016/s0196-0644(05)81271-5.
Elderly patients with undiagnosed polymyalgia rheumatica and giant cell arteritis are not uncommon, and they may present to the emergency department with nonspecific physical complaints. We describe the cases of two patients who had the "typical" constellation of symptoms. It is important that emergency physicians consider the diagnosis and provide appropriate testing, therapy, and follow-up.
未确诊的风湿性多肌痛和巨细胞动脉炎的老年患者并不少见,他们可能因非特异性身体不适而就诊于急诊科。我们描述了两名具有“典型”症状组合的患者的病例。急诊医生考虑该诊断并提供适当的检查、治疗和随访很重要。