Temporal arteritis and polymyalgia rheumatica – an acute condition in rheumatology.
Temporálna arteritída a polymyalgia rheumatica - akútny stav v reumatológii
Temporálna arteritída (TA) - M. Horton patří medzi vaskulitídy neznámej etiológie. Postihuje vetvy vonkajšej a vnútornej karotídy, ide však o generalizovanú obrovskobunkovú panarteritídu, ktorá móže zasiahnuť hociktorú veíkú alebo strednú artériu. Polymyalgia rheumatica (PMR) prebieha samostatné alebo spolu s TA. Prejavuje sa bolesťou a stuhnutím ramenného a bedrového pletenca. V článku sú uvedené dve kazuistiky. Prvá demonstruje typický příklad temporálnej arteritídy, druhá kombináciu temporálnej arteritídy s polymyalgia rheumatica.
Závěr:
Včasná diagnostika a liečba TA je základná podmienka záchrany zraku pacienta.
Kľúčové slova:
temporálna arteritída, polymyalgia rheumatica
Authors:
Ž. Macejová; M. Oetterová; I. Lazúrová
Authors‘ workplace:
I. interna klinika LF UPJŠ a FNLP Přednosta: Prof. MUDr. Ivica Lazúrová, PhD.
Published in:
Prakt. Lék. 2006; 86(5): 278-280
Category:
Case Report
Overview
Temporal arteritis (TA), Horton`s disease, is vasculitis of unknown etiology affecting branches of the external and internal carotid arteries. However, in question is a generalized gigantocellular panarteritis that can affect any large or medium-size artery. Polymyalgia rheumatica (PMR) either follows an independent course or appears along with TA. It is manifested by pain and stiffening of the shoulder and lumbar regions. Presented are two case reports; one demonstrating a typical example of temporal arteritis, the other a combination of TA and polymyalgia rheumatica.
Conclusion:
Early diagnostics and treatment of TA is the precondition for preserving the patient’s eyesight.
Key words:
temporal arteritis – polymyalgia rheumatica
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2006 Issue 5
- Definition and Classification of Chronic Kidney Disease According to KDIGO
- Doc. Jiří Kubeš: The major benefit of proton therapy lies in protecting healthy tissues
- Minimally Invasive Treatment of Pilonidal Sinus: Laser and Negative Pressure Therapy as a Gentle and Effective Modality
- Trazodone as an Effective Medicine in the Therapy of Depression and Insomnia
- Diagnosis of Cow Milk Protein Allergy − Current Methods and Their Diagnostic Value
Most read in this issue
- Temporal arteritis and polymyalgia rheumatica – an acute condition in rheumatology.
- Congenital syphilis again on the scene worldwide. II. Clinical picture.
- Pulmonary aspergillosis – a fatal complication in a patient suffering acute promyelocytic leukemis
- Negative pressure wound therapy at patients with diabetic foot. (Vacuum Assisted Closure)