Dellaripa P F, Eisenhauer A C
Division of Rheumatology and Cardiovascular Medicine, Lahey Clinic Medical Center, Burlington, Massachusetts 01805, USA.
J Rheumatol. 1998 Jul;25(7):1429-33.
Giant cell arteritis (GCA) is well known to present with protean manifestations. We describe a 68-year-old woman with persistent upper extremity ischemic symptoms despite adequate treatment for GCA. She underwent successful balloon angioplasty of bilateral axillary artery stenosis. To our knowledge this is the first case utilizing this technique in GCA. Our case highlights the rare but important circumstances under which interventional techniques both surgical and nonsurgical need to be considered in cases of GCA with arterial occlusion not responsive to corticosteroid therapy.
巨细胞动脉炎（GCA）以其多样的表现而闻名。我们描述了一位68岁的女性，尽管对GCA进行了充分治疗，但仍有持续的上肢缺血症状。她接受了双侧腋动脉狭窄的成功球囊血管成形术。据我们所知，这是首例在GCA中使用该技术的病例。我们的病例突出了在GCA伴有对皮质类固醇治疗无反应的动脉闭塞情况下，需要考虑手术和非手术介入技术的罕见但重要的情况。
