書誌事項
- タイトル別名
-
- A case of giant cell arteritis associated with bilateral cheek swelling and pain
- リョウガワ ホオブ ノ シュチョウ ト トウツウ オ シュソ ト シタ キョサイボウ ドウミャクエン ノ 1レイ
この論文をさがす
抄録
Giant cell arteritis (GA) is a rare disease among Japanese, and the cause is unknown. There are no previous reports of bilateral GA along the facial arteries. This report presents the case of a 69-year-old woman who was referred to this department because of swelling and intense pain in both cheeks. Antibiotics and nonsteroidal anti-inflammatory drugs were administered for 1 week, but the clinical symptoms worsened. The results of blood examinations and a CT scan suggested that the patient had arteritis, and treatment with 10 mg/day prednisolone was initiated. Then, swelling and pain developed along the temporal artery, and a 3D-CT angiogram of the head was taken. It showed mild linearization and variations in the diameter of both superficial temporal arteries. A biopsy of the temporal artery was then performed, and the histopathological diagnosis was GA. GA is often difficult to diagnose because of the wide range of general symptoms. However, it is important to diagnose and treat GA as soon as possible, because delayed diagnosis and treatment may result in blindness in severe cases involving the ophthalmic artery. GA should therefore be included in the differential diagnosis in patients with swelling and intense pain in the maxillofacial region despite treatment with antibiotics and nonsteroidal anti-inflammatory drugs.
収録刊行物
-
- 日本口腔外科学会雑誌
-
日本口腔外科学会雑誌 59 (1), 33-37, 2013
社団法人 日本口腔外科学会
- Tweet
キーワード
詳細情報 詳細情報について
-
- CRID
- 1390001206531836416
-
- NII論文ID
- 10031156075
-
- NII書誌ID
- AN00189163
-
- ISSN
- 21861579
- 00215163
-
- NDL書誌ID
- 024250381
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- NDL
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可