کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8700747 | 1585626 | 2017 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Jaw claudication is the only clinical predictor of giant-cell arteritis
ترجمه فارسی عنوان
لکه بینی فکوس تنها پیش بینی بالینی بیماری آرتروز سلول های غول پیکر است
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کلمات کلیدی
VASDC/TMDTMDTABFDG PETACRGCASTAESRGiant-cell arteritis - آرتروز سلول غول پیکرGiant cell arteritis - آرتریت سلول غول پیکرTemporal arteritis - آرتریت موقتTemporomandibular disorder - اختلال تمپوروماندیبولارTemporomandibular disorders - اختلالات تمپوروماندیبولارTemporal artery biopsy - بیوپسی شرایین موقتیFluorodeoxyglucose positron emission tomography - توموگرافی انتشار پوزیترون Fluorodeoxyglucosecomputed tomography - توموگرافی کامپیوتری یا سی تی اسکن یا مقطعنگاری رایانهایerythrocyte sedimentation rate - سرعت رسوب گلبول قرمزsuperficial temporal artery - شریان ماهیانه سطحیvisual analog scale - مقیاس آنالوگ بصریC-reactive protein - پروتئین واکنشی سیCRP - پروتئین واکنشی سی یا سی. آر. پی American College of Rheumatology - کالج آمریکایی روماتولوژی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی
Giant-cell arteritis (GCA), commonly known as temporal arteritis, is a chronic granulomatous vasculitis that affects predominantly the extracranial branches of the carotid artery. Although an algorithm for diagnosing GCA that includes both biopsy and imaging examinations has been recently proposed, it harbors the possibility of false negatives. Hence, jaw claudication caused by ischemia of the masticatory muscles is one of the important clinical predictors for implementation of temporal artery biopsy (TAB). We describe a case of GCA in which jaw claudication was the only clinical predictor for implementation of TAB. A 78-year-old man was referred to our department with facial pain associated with mastication. He had been admitted 3 weeks previously to another department to investigate an unidentified fever. A blood test revealed an elevated C-reactive protein level and a high erythrocyte sedimentation rate (70Â mm/h). Although ultrasonography and computed tomography angiography of the temporal region showed no findings specific for GCA, based on our examinations we determined that his facial pain arose from jaw claudication rather than temporomandibular disorder. Histopathological examination by temporal artery biopsy showed intima thickening with disruption of elastic lamina and inflammatory cell infiltration, and we consequently diagnosed GCA. Clinical symptoms immediately resolved after prescription of prednisolone 40Â mg/day for 2Â days. In this case of GCA the imaging examinations of the superficial temporal artery were false-negative, and jaw claudication was the most important predictor of GCA.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology - Volume 29, Issue 3, May 2017, Pages 264-269
Journal: Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology - Volume 29, Issue 3, May 2017, Pages 264-269
نویسندگان
Hitoshi Sato, Mariko Inoue, Wataru Muraoka, Takaaki Kamatani, Seiji Asoda, Hiromasa Kawana, Taneaki Nakagawa, Koichi Wajima,