基础医学与临床 ›› 2018, Vol. 38 ›› Issue (8): 1168-1172.

• 短篇综述 • 上一篇    下一篇

巨细胞动脉炎与老年人不明原因发热

尹月1,张昀2,曾学军1   

  1. 1. 中国医学科学院 北京协和医学院 北京协和医院
    2. 中国医学科学院北京协和医院
  • 收稿日期:2018-05-02 修回日期:2018-06-20 出版日期:2018-08-05 发布日期:2018-07-24
  • 通讯作者: 曾学军 E-mail:zxjpumch@126.com
  • 基金资助:
    公益性行业科研专项项目

Giant cell arteritis and fever of unknown origin in the elderly

Yue Yin1, 1,Xue-jun ZENG   

  • Received:2018-05-02 Revised:2018-06-20 Online:2018-08-05 Published:2018-07-24
  • Contact: Xue-jun ZENG E-mail:zxjpumch@126.com

摘要: 不明原因发热是常见的内科疾病,由于老年人疾病表现不典型致使诊断尤为困难,其中巨细胞动脉炎是重要病因。巨细胞动脉炎多见于老年人,主要表现为器官缺血及全身非特异症状为主,血管影像技术的应用使越来越多的发热患者发现大血管炎性反应而诊断该病。此外,巨细胞动脉炎常与风湿性多肌痛合并出现,并可作为副肿瘤综合征的表现之一。

关键词: 不明原因发热, 巨细胞动脉炎, 风湿性多肌痛, 副肿瘤综合征, 老年人

Abstract: Fever of unknown origin (FUO) is common in internal medicine and rather difficult in diagnosis, which is more significant in the elderly due to their atypical presentations. Giant cell arteritis is an important cause of FUO in the elderly. Constitutional symptoms and cranial ischemic complications are the major clinical presentations. Nowadays, large vessel inflammation in elderly FUO patients were detected more with the advanced imaging techniques, which reveals the subtype of GCA named large-vessel GCA. In addition, GCA and polymyalgia rheumatica (PMR) are often overlapping, and GCA can be the presentation of paraneoplastic syndrome.

Key words: fever of unknown origin, giant cell arteritis, polymyalgia rheumatic, paraneoplastic syndrome, elderly

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