动脉炎呈现出面部胀和阴性动脉活检结果
Natalie Si-Yi Lee1,2, Tim Y Lu3,4, Alexandra Allende5
1Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
BMJ case reports
|September 18, 2023
概括
面部胀可能表明动脉炎,即使有负面的活检. 早期的皮质类固醇治疗对于这种影响中大血管的疾病至关重要.
科学领域:
- 血管医学 血管医学
- 类风湿病学 类风湿病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 关动脉炎 (巨细胞动脉炎) 是一种血管炎,通常影响中大动脉.
- 常见的症状包括头痛,关节,视力障碍等.
- 诊断通常依赖于临床怀疑和动脉活检.
研究的目的:
- 突出面部胀作为一个未被认可的动脉炎的表现.
- 为了强调考虑动脉炎的重要性,尽管有负面的活检.
主要方法:
- 一个60多岁的男性患者的病例报告,呈现出双侧耳前耳道胀.
- 系统性皮质类固醇的初始治疗.
- 诊断工作包括动脉活检和正子发射断层扫描-CT (PET-CT).
主要成果:
- 动脉活检对血管炎呈阴性.
- PET-CT显示中大血管的吸收增加,包括表面动脉和大动脉.
- 患者对皮质类固醇治疗有反应.
结论:
- 脸部胀可能是关动脉炎的一个被忽视的初始症状.
- 阴性动脉活检不应排除诊断或延迟必要的治疗.
- 像PET-CT这样的先进成像可以在活检没有确的情况下帮助诊断.
相关概念视频
Assessing Body Temperature - Temporal Artery
582
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
582
Myocarditis II: Clinical Features and Diagnostic Tests
12
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
12
Tonsillitis I: Introduction
300
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
300
Temperature Measurement Sites
1.8K
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
1.8K
Pericarditis II: Clinical Features and Diagnostic Tests
9
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
9
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38


