Gur H, Ehrenfeld M, Izsak E
Department of Medicine C, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Clin Rheumatol. 1996 Mar;15(2):200-3. doi: 10.1007/BF02230342.
Pulmonary involvement is rare in giant cell arteritis (GCA). Only a few cases have been reported, manifested by interstitial infiltration, pulmonary nodules, pulmonary artery vasculitis, and granuloma formation. Moreover, only 3 previous cases of pleural effusion associated with GCA have been described. Herein we report a 67-year-old woman with biopsy-proven temporal arteritis, presented with prolonged fever, weight loss, cough and pleural effusion. ELISA test for the presence of anti- proteinase-3 antibodies was negative. The importance of the anti-neutrophil cytoplasmic-antibodies (ANCA) examination in the differential diagnosis from other vasculitides with pulmonary involvement is discussed.
巨细胞动脉炎（GCA）累及肺部的情况较为罕见。仅有少数病例报道，表现为间质性浸润、肺结节、肺动脉血管炎和肉芽肿形成。此外，此前仅描述过3例与GCA相关的胸腔积液病例。在此，我们报告一名67岁女性，经活检证实为颞动脉炎，出现长期发热、体重减轻、咳嗽和胸腔积液。检测抗蛋白酶-3抗体的ELISA试验结果为阴性。本文讨论了抗中性粒细胞胞浆抗体（ANCA）检查在与其他累及肺部的血管炎进行鉴别诊断中的重要性。
