临床误诊误治2016，Vol.29Issue(12)：4-6,3.DOI:10.3969/j.issn.1002-3429.2016.12.002
不典型巨细胞动脉炎误诊剖析
Misdiagnosis Analysis of Atypical Giant Cell Arteritis
王丽 1王小平 1李庭毅 1李文辉 1盛飞 1胡松 1孙霞1
作者信息
- 1. 432000湖北 孝感，武汉科技大学附属孝感中心医院神经内科
- 折叠
摘要
Abstract
Objective To investigate clinical features and misdiagnosed causes of giant cell arteritis ( GCA) . Meth-ods Clinical data of 2 patients with atypical GCA was respectively analyzed, and related documents were also reviewed. Re-sults The initial symptoms of 2 patients were headache, intermittent blurred vision and lacrimation. Clinical symptoms of the 2 patients were mildly relieved after treatments for occipital neuralgia and migraine respectively, but the headache severely ag-gravated. The abnormal erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were found. Color Doppler ultra-sound for bilateral temporal arteries showed thickening vessel wall of temporal arteries and narrow lumens, and then GCA was confirmed. Clinical symptoms of the 2 patients were relieved after treatment by Prednisone. Prednisone maintenane therapy was keeping, and dosage was decreased gradually. Recurrence did not find by 2 years of follow-up. Conclusion Clinical manifestations of GCA are atypical and insidious, So it is easily misdiagnosed. The key points of decreasing misdiagnosis or missed diagnosis for GCA are carefully asking the history and physical examination, performing examinations such as ESR, CRP and color ultrasound timely.关键词
巨细胞动脉炎/误诊/偏头痛/神经痛/泼尼松Key words
Giant cell arteritis/Misdiagnosis/Migraine disorders/Neuralgia/Prednisone分类
医药卫生引用本文复制引用
王丽,王小平,李庭毅,李文辉,盛飞,胡松,孙霞..不典型巨细胞动脉炎误诊剖析[J].临床误诊误治,2016,29(12):4-6,3.
