Orrell R W, Johnson M H
Department of Neurology, St James's University Hospital, Leeds.
Br J Clin Pract. 1993 Mar-Apr;47(2):71-2.
The level of plasma viscosity associated with the diagnosis of giant cell arteritis, and its use as a replacement for the erythrocyte sedimentation rate (ESR) is examined, by reviewing the records of 59 patients undergoing temporal artery biopsy. All patients with positive temporal artery biopsy had plasma viscosity above the upper limit of normal (1.72 mPa.s), range 1.88 to 2.28. There was a large group of patients with a possible diagnosis, supported by a raised plasma viscosity, who in the absence of a positive biopsy were not felt to have clinical disease requiring steroid treatment. The role of plasma viscosity appears to be similar to that of the ESR in the diagnosis of giant cell arteritis.
通过回顾59例接受颞动脉活检患者的记录，研究了与巨细胞动脉炎诊断相关的血浆粘度水平及其作为红细胞沉降率（ESR）替代指标的应用。所有颞动脉活检阳性的患者血浆粘度均高于正常上限（1.72 mPa·s），范围为1.88至2.28。有一大组患者，血浆粘度升高支持可能的诊断，但在活检阴性的情况下，认为其没有需要类固醇治疗的临床疾病。血浆粘度在巨细胞动脉炎诊断中的作用似乎与ESR相似。
