大细胞动脉炎的口腔和肠道表现
Mathieu Pernet1, Laura Moi2, Fulvia Serra3
1Department of Internal Medicine, Riviera-Chablais Hospital, Rennaz, Switzerland.
European journal of case reports in internal medicine
|February 10, 2025
概括
巨细胞动脉炎 (GCA) 可以呈现出不寻常的舌头症状和额外的表现. 早期诊断这种多态状况,即使有负面的经典测试,至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 巨细胞动脉炎 (GCA) 是50岁以上成年人最常见的血管炎.
- 它通常会影响大动脉和中等动脉,导致头骨缺血症状.
- 外GCA,涉及大动脉及其分支,不太常见,在诊断上具有挑战性.
研究的目的:
- 报告一个具有挑战性诊断的GCA病例.
- 为了突出多态GCA的诊断陷.
- 强调在老年人中考虑额外骨GCA的重要性.
主要方法:
- 一个75岁的妇女的病例报告,舌头和后来的机械.
- 诊断工作,包括普德尼松试验,动脉超声波和活检.
- FDG-PET/CT和小肠切除的病理检查.
主要成果:
- 舌头的初始症状对普雷尼松有反应,但没有证实GCA.
- 患者后来由于小肠缺血性狭窄症而发展出机械.
- 通过病理检查和FDG-PET/CT证实了额外内GCA的诊断.
结论:
- 在老年人中,应怀疑有舌头缺血症状的GCA.
- 额外内GCA可以表现为介质性缺血.
- 当头骨GCA的经典诊断工具是负的时,FDG-PET/CT是有价值的.
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