CAJ | 학술논문

颞动脉炎是好发于老年人的系统性血管炎,是老年人头痛、失明的重要原因之一,如未及时治疗可导致失明等严重并发症.典型临床表现包括颞部头痛、间歇性下颌运动障碍和视力障碍(视物模糊、复视、短暂失明等).但部分患者症状不典型,漏诊和延误诊断发生率高.颞动脉活检是确诊本病的金标准.颞动脉炎首选激素治疗,同时应予以低剂量阿司匹林降低缺血性事件的发生.早期诊疗可显著减少失明和脑卒中等严重并发症的发生.
섭동맥염시호발우노년인적계통성혈관염,시노년인두통、실명적중요원인지일,여미급시치료가도치실명등엄중병발증.전형림상표현포괄섭부두통、간헐성하합운동장애화시력장애(시물모호、복시、단잠실명등).단부분환자증상불전형,루진화연오진단발생솔고.섭동맥활검시학진본병적금표준.섭동맥염수선격소치료,동시응여이저제량아사필림강저결혈성사건적발생.조기진료가현저감소실명화뇌졸중등엄중병발증적발생.
Temporal arteritis,a systemic vasculitis of medium and large arteries that most often occurs in older adults,can cause serious health consequences including blindness if untreated.Clinical features of this condition include headache,polymyalgia,jaw claudication and visual abnormalities (blurred vision,diplopia,transient vision loss,etc).However,the presentations can be atypical and non-specific,leading to delayed or misdiagnosis. Therefore,geriatricians need to be vigilant in recognizing this common rheumatological condition in the elderly.The gold standard for diagnosis of temporal arteritis is temporal artery biopsy.First-line treatment is glucocorticoid steroid.Low dose aspirin appears to be beneficial in preventing cranial ischemic complications. Early treatment can significantly reduce the risk for severe complications including blindness and stroke.