BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 头痛
  • 风湿性多肌痛的症状
  • 视力丧失

其他诊断因素

  • 全身症状
  • 全身症状
  • 神经系统症状
  • 咳嗽、咽喉痛、声嘶

危险因素

  • 50 岁以上
  • 女性
  • 遗传因素
  • 吸烟

诊断性检查

首要检查

  • 红细胞沉降率 (ESR)
  • C 反应蛋白 (CRP)
  • 全血细胞计数 (FBC)
  • 肝功能检查
全部具体信息

需要考虑的检查

  • 主动脉弓血管造影术
全部具体信息

新兴检查

  • 头部至大腿中部的 FDG-PET 扫描
  • 上肢动脉的超声扫描
全部具体信息

治疗流程

贡献者

Kenneth J. Warrington MD

Professor of Medicine

Mayo Clinic College of Medicine

Rochester

MN

利益冲突披露
KJW is an author of a number of references cited in this monograph.
Eric L. Matteson MD, MPH

Professor of Medicine

Mayo Clinic College of Medicine

Rochester

MN

利益冲突披露
ELM’s employer receives payments from Bristol Meyers Squibb and GlaxoSmithKline for his role as investigator in giant cell arteritis clinical trials; from Novartis for his role in polymyalgia rheumatica clinical trials; and from GlaxoSmithKline for his role as an advisory consultant. ELM is an author and editor for Up To Date and Paradigm, as well as an author of a number of references cited in this monograph.

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Professor of Rheumatology

Mayo Clinic

Rochester

MN

利益冲突披露
GH declares that he has no competing interests.

Consultant Rheumatologist

BHRT University Hospital

Queen’s Hospital

Romford

UK

利益冲突披露
KC declares that he has no competing interests.

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