Moltyaner Y, Tenenbaum J
Department of Medicine, University of Toronto, Ontario.
J Fam Pract. 1996 Sep;43(3):294-300.
Temporal cell arteritis is a systemic vasculitis occurring mainly in the elderly. Classic symptoms such as headache, jaw claudication, visual changes, and polymyalgia rheumatica make the diagnosis relatively easy. Occult or asymptomatic presentations, however, are often missed or attributed to another cause. It is important for clinicians to be aware of the diverse presentations of this disease to avoid unnecessary investigations and prevent complications such as visual loss, myocardial ischemia, cerebrovascular accident, and death. This report presents the case of a patient who was referred with anemia and an elevated erythrocyte sedimentation rate, and who developed a headache during the hospital admission.
颞动脉炎是一种主要发生在老年人中的系统性血管炎。头痛、下颌跛行、视力变化和风湿性多肌痛等典型症状使诊断相对容易。然而，隐匿性或无症状表现常常被漏诊或归因于其他原因。临床医生了解这种疾病的多种表现很重要，以避免不必要的检查并预防诸如视力丧失、心肌缺血、脑血管意外和死亡等并发症。本报告介绍了一名因贫血和红细胞沉降率升高而转诊、住院期间出现头痛的患者的病例。
