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ID 14956
Eprint ID
14956
FullText URL
Title Alternative
MR-angiographyで経過を観察しえた慢性関節リウマチに合併した巨細胞動脈炎の1例
Author
Harada, Seishi
Kodama, Fumiko
Hosaki, Yasuhiro
Mifune, Takashi
Tsugeno, Hirofumi
Okamoto, Makoto
Yumoto, Eiichiro
Tanizaki, Yoshiro
Abstract
We report a patient who developed giant cell (temporal) arteritis during treatment of rheumatoid arthritis. The patient was a 57-year-old Japanese woman and had been well controlled with anti-rheumatic drugs, when she presented to our hospital with severe bitemporal headaches and marked fatigue. An exclusive diagnosis was rapidly made and she was diagnosed as having giant cell arteritis based on the classification criteria by American College of Reumatology. Additionally, magnetic resonance (MR) angiography was performed, from which stenotic change in the bilateral superficial temporal arteries was strongly suspected and then corticosteroid therapy was quickly started. The patient followed an uneventful course without developing any complications such as visual dysfunctions. Therapeutic effect was confirmed by MR-angiographic findings obtained 4 weeks after the initiation of therapy.
Abstract Alternative
慢性関節リウマチ治療経過中に巨細胞動脈炎(側頭動脈炎)を合併した1例を報告した。症例は抗リウマチ剤投与で良好にコントロールされていた慢性関節リウマチの57歳の女性で,強い両側頭部痛と全身倦怠感を主訴に来院した。アメリカリウマチ学会(ACR)の分類基準に基づき巨細胞動脈炎と診断し,MR-アンギオグラフィーで両側浅側頭動脈の狭窄性変化を強く疑い,発症 早期よりステロイド投与を開始した。眼合併症等を来すことなく良好な経過をとり,治療開始4週間後のMR-アンギオグラフィー再検でその治療効果を確認し得た。MR-アンギオグラフィーで巨細胞動脈炎病変部を観察しえた報告は極めて少なく,文献的考察を加え報告する。
Keywords
巨細胞動脈炎 (giant cell arteritis)
側頭動脈炎 (temporal arteritis)
慢性関節リウマチ (rheumatoid arthritis)
MRアンギオグラフィー (MR-angiography)
Published Date
1998-12
Publication Title
岡大三朝分院研究報告
Publication Title Alternative
Annual Reports of Misasa Medical Branch, Okayama University Medical School
Volume
volume69
Publisher
岡山大学医学部附属病院三朝分院
Publisher Alternative
Misasa Medical Branch, Okayama University Medical School
Start Page
35
End Page
39
ISSN
0918-7839
NCID
AN10430852
Content Type
Departmental Bulletin Paper
language
英語
File Version
publisher
Refereed
False
Eprints Journal Name
mmc