最后审阅: 28 十月 2021
最后更新: 14 七月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 肩胛带/骨盆带僵硬
  • 肩胛带/骨盆带疼痛
  • 对皮质类固醇的快速反应

其他诊断因素

  • 急性发作
  • 低热
  • 厌食
  • 体重减轻
  • 不适感
  • 抑郁症
  • 乏力
  • 少关节型关节炎

危险因素

  • 年龄≥50 岁
  • 巨细胞动脉炎 (GCA)
  • 女性

诊断性检查

首要检查

  • 红细胞沉降率 (ESR)
  • C 反应蛋白 (CRP)
  • 全血细胞计数 (FBC)

需考虑的检查

  • TSH
  • 超声
  • 磁共振成像 (MRI)
  • 血清蛋白电泳
  • 类风湿因子
  • 抗环瓜氨酸肽抗体

新兴检查

  • 白细胞介素 (IL)-6
  • 氟脱氧葡萄糖 F-18 PET 扫描

治疗流程

撰稿人

作者

Ari Weinreb, MD, PhD

Associate Chief of Rheumatology

VA Greater Los Angeles Healthcare System

Associate Clinical Professor of Medicine

David Geffen School of Medicine at UCLA

Los Angeles

CA

利益声明

AW declares that he has no competing interests.

鸣谢

Dr Ari Weinreb would like to gratefully acknowledge Dr Lynell Newmarch, a previous contributor to this topic. LN declares that she has no competing interests.

同行评议者

Brian F. Mandell, MD, PhD, FACR

Vice Chairman of Medicine for Education

Professor of Medicine

Cleveland Clinic Lerner College of Medicine

Case Western Reserve University

Editor in Chief

Cleveland Clinic Journal of Medicine

Cleveland Clinic

Cleveland

OH

利益声明

BFM declares that he has no competing interests.

Kuntal Chakravarty, FRCP (London), FRCP (Glasgow), FRCP (Ireland), FACP (USA), FACR (USA)

Consultant Rheumatologist

BHRT University Hospital

Queen’s Hospital

Romford

UK

利益声明

KC declares that he has no competing interests.

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