Fukudome Y, Abe I, Onaka U, Fujii K, Ohya Y, Fukuhara M, Kaseda S, Esaki M, Fujishima M
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
J Rheumatol. 1998 Oct;25(10):2029-32.
We describe 2 young Japanese female patients with active Takayasu's arteritis whose diagnosis was mainly based on the characteristic ultrasonographic finding, that is, a circumferential vascular wall thickening in common carotid arteries. Following corticosteroid therapy, serial ultrasonographic examination documented the improvement of their thickened carotid walls (in Case 1 from 1.4 to 0.5 mm after 2 months of therapy, in Case 2 from 1.5 to 0.9 mm after 9 months of therapy). These cases emphasize that ultrasonography is useful for evaluation of the therapeutic effect as well as for the diagnosis of Takayasu's arteritis in its early stage.
我们描述了2例患有活动性大动脉炎的年轻日本女性患者，其诊断主要基于特征性超声检查结果，即双侧颈总动脉血管壁呈环形增厚。在接受皮质类固醇治疗后，系列超声检查记录了其增厚颈动脉壁的改善情况（病例1在治疗2个月后颈动脉壁厚度从1.4 mm降至0.5 mm，病例2在治疗9个月后从1.5 mm降至0.9 mm）。这些病例强调，超声检查对于评估大动脉炎的治疗效果以及早期诊断均很有用。
