最近审阅: 3 十一月 2020
最近更新: 12 十二月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 头痛
  • 风湿性多肌痛
  • 四肢跛行
  • 其他颅动脉异常
  • 视力丧失
  • 下颌运动障碍
  • 颞浅动脉触痛、增厚,或结节感
  • 颞动脉搏动消失
  • 眼底镜检查异常

其他诊断因素

  • 全身症状
  • 神经系统症状
  • 咳嗽、咽痛、声嘶
  • 听诊杂音
  • 血压不对称
  • 肩膀触痛
  • 肩部和髋部活动范围受限
  • 手腕和膝关节肿胀

危险因素

  • 50 岁以上
  • 女性
  • 遗传因素
  • 吸烟
  • 动脉粥样硬化
  • 环境因素

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)
  • 肝功能检查 (LFT)
  • 颞动脉活检
  • 颞动脉超声
更多 首要检查

新兴检查

  • 头部至大腿中部的 FDG-PET 扫描
  • 上肢动脉的超声扫描
更多 新兴检查

治疗流程

撰稿人

Kenneth J. Warrington

Professor of Medicine

Mayo Clinic College of Medicine

Rochester

MN

利益声明

KJW’s employer receives payments from Eli Lilly and GlaxoSmithKline for his role as investigator in giant cell arteritis clinical trials. KJW has conducted consulting work for Sanofi. KJW is an author of a number of references cited in this topic.

Dr Kenneth J. Warrington wishes to gratefully acknowledge Dr Eric L. Matteson, a previous contributor to this topic. ELM’s employer has received payments from Bristol Meyers Squibb and GlaxoSmithKline for his role as investigator in giant cell arteritis clinical trials; from Novartis for his role in polymyalgia rheumatica clinical trials; and from GlaxoSmithKline for his role as an advisory consultant. ELM is an author and editor for Up To Date and Paradigm, as well as an author of a number of references cited in this topic.

同行评议者展开全部内容

Professor of Rheumatology

Mayo Clinic

Rochester

MN

利益声明

GH declares that he has no competing interests.

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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