<症例>側頭動脈炎症状を呈した老人性SLEの一例

概要

論文の詳細を見る
We reported a case of senile systemic lupus erythematosus (SLE) associated with the typical symptoms of temporal arteritis. The patient was a 58-year-old woman, admitted to our clinic in 1976,complaining of severe temporal headache, dizziness, left hemiparesis and dysphasia. Laboratory examinations revealed very high ESR, mild anemia and elevation of α_2-, γ-globulin, fibrinogen and positive LE phenomenon. A biopsy specimen from the right temporal artery showed markedly thickened intima, but giant cells and inflammatory cells were not found. She showed a remarkable response to oral administration of predonisolone, and her subjective symptoms abated rapidly. Then her ESR, α_2-, γ-globulin and fibrinogen decreased and RBC increased towards normal. On the other hand, a diagnosis of SLE was established by laboratory examinations (continuous positive LE cells and antinuclear factors) and renal biopsy (mild lupus nephritis). It is concluded that temporal arteritis and SLE are overlapping with each other in this case, and the relation between temporal arteritis and SLE was discussed.
近畿大学の論文
1979-03-25