Govil Y K, Sabanathan K, Scott D
West Norwich Hospital, Norfolk and Norwich Health Care NHS Trust, UK.
Postgrad Med J. 1998 Mar;74(869):170-1. doi: 10.1136/pgmj.74.869.170.
Giant cell arteritis commonly presents with headache, polymyalgia, and visual signs and symptoms. Other neurological, respiratory or vascular symptoms occur in 10-30% of patients. It is extremely rare for giant cell arteritis to present initially with haematuria. Here we describe a case which presented with fever and haematuria, which emphasise the need to be vigilant about the diagnosis of giant cell arteritis as an underlying cause.
巨细胞动脉炎通常表现为头痛、多肌痛以及视觉症状和体征。其他神经、呼吸或血管症状在10%至30%的患者中出现。巨细胞动脉炎最初以血尿为表现极为罕见。在此我们描述一例以发热和血尿为表现的病例，该病例强调了对巨细胞动脉炎作为潜在病因的诊断保持警惕的必要性。
