Rischmueller M, Davies R P, Smith M D
Department of Rheumatology, Flinders Medical Centre, Bedford Park, Australia.
Br J Rheumatol. 1996 Aug;35(8):800-2. doi: 10.1093/rheumatology/35.8.800.
A case of giant cell arteritis presenting in an atypical fashion with respiratory and upper limb ischaemic symptoms is described. The subclavian and axillary arterial involvement is demonstrated in this case, and followed up with repeated angiographic examinations over the next 3 yr. Despite resolution of all symptoms and return of pulses and a recordable blood pressure in the ischaemic upper limb, there was no angiographic evidence of resolution of the axillary artery stenoses.
本文描述了一例以非典型方式出现呼吸及上肢缺血症状的巨细胞动脉炎病例。该病例显示有锁骨下动脉和腋动脉受累,并在接下来的3年中通过多次血管造影检查进行随访。尽管所有症状均已缓解,缺血上肢的脉搏恢复且可记录到血压,但血管造影检查未显示腋动脉狭窄有所缓解。