多发性大动脉炎(又称无脉症、主动脉弓综合症或Takayasa病),为一较少见疾病。本病常为多发性病变,临床表现复杂多样,极易忽略而误诊。笔者临床遇到4例多发性大动脉炎,在确诊前均误诊。现报告分析如下,以期吸取教训。1 病例简介1.1 误诊为风湿热2例。 例1,女,23岁,本市接渡镇农民。例2,女,28岁,本市医师。这2例均主要表现为单侧上肢无力、冷感、酸胀沉重感,伴头昏、低热、肩背部胀痛,白细 Polyarteriitis (also known as pulseless disease, aortic arch syndrome or Takayasa disease) is a less common disease. The disease is often multiple lesions, complex and diverse clinical manifestations, easily overlooked and misdiagnosed. My clinical encounter 4 cases of multiple arteritis, were misdiagnosed before the diagnosis. The report is analyzed as follows, with a view to drawing lessons. 1 case description 1.1 misdiagnosed as rheumatic fever in 2 cases. Example 1, female, 23 years old, pick up the town farmers in the city. Example 2, female, 28 years old, the city doctor. These two cases are mainly manifested as unilateral upper limb weakness, cold sensation, heavy soreness, with dizziness, fever, shoulder and back pain, white fine