颞动脉炎中的双侧头皮坏死。霍顿病的一种罕见并发症。

Bilateral scalp necrosis in temporal arteritis. A rare complication of Horton's disease.

作者信息

Soderstrom C W, Seehafer J R

出版信息

Am J Med. 1976 Oct;61(4):541-6. doi: 10.1016/0002-9343(76)90335-1.

Abstract

In an elderly man bilateral temporal scalp necrosis complicating temporal (systemic giant cell) arteritis developed. The patient also demonstrated other features characteristic of this entity: (1) exquisite scalp tenderness and headache, (2) onset late in life, (3) visual disturbances, (4) general debility, (5) diagnostic temporal artery biopsy, and (6) gradual healing with glucocorticosteroid therapy. A computer assisted review revealed 13 similar cases of scalp necrosis associated with temporal arteritis published in the English literature.

摘要

一名老年男性出现双侧颞部头皮坏死，这是颞动脉炎（系统性巨细胞动脉炎）的并发症。该患者还表现出这种疾病的其他特征：（1）头皮剧痛和头痛，（2）发病较晚，（3）视觉障碍，（4）全身虚弱，（5）诊断性颞动脉活检，以及（6）糖皮质激素治疗后逐渐愈合。计算机辅助检索发现，英文文献中发表了13例与颞动脉炎相关的头皮坏死类似病例。