Temporal arteritis after normalization of erythrocyte sedimentation rate in polymyalgia rheumatica.
Temporal arteritis after normalization of erythrocyte sedimentation rate in polymyalgia rheumatica.
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风湿性多肌痛红细胞沉降率正常化后的颞动脉炎。
DOI：
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发表时间：
1986
影响因子：
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通讯作者：
N. D. Schwartz
中科院分区：
文献类型：
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作者：
M. Papadakis;N. D. Schwartz
我们描述了一个72岁的妇女与典型的介绍风湿性多肌痛和红细胞沉降率升高。经低剂量皮质类固醇治疗，沉降率、红细胞压积和血清碱性磷酸酶恢复正常后，患者出现症状，活检证实为颞动脉炎。对于患有风湿性多肌痛且最初沉降率升高的患者，如果症状需要，皮质类固醇治疗使沉降率正常化并不排除进行颞动脉活检的需要。
We describe a 72-year-old woman with classic presentation of polymyalgia rheumatica and an elevated erythrocyte sedimentation rate. After treatment with low-dose corticosteroids and normalization of the sedimentation rate, hematocrit, and serum alkaline phosphatase, she developed symptoms and biopsy proved temporal arteritis. In patients with polymyalgia rheumatica and an initially elevated sedimentation rate, normalization of the sedimentation rate with corticosteroid therapy does not exclude the need for temporal artery biopsy if the symptoms warrant it.