Giant cell arteritis: Diagnosis and therapeutic management

被引：11
|
作者：
Gonzalez-Gay M.A. [1 ]
Garcia-Porrua C. [1 ]
Miranda-Filloy J.A. [1 ]
机构：
[1] Rheumatology Division, Hospital Xeral-Calde, Lugo
来源：
Current Rheumatology Reports | 2006年 / 8卷 / 4期
关键词：
Giant Cell Arteritis; Temporal Artery; Polymyalgia Rheumatica; Temporal Artery Biopsy; Halo Sign;
D O I：
10.1007/s11926-006-0013-7
中图分类号：
学科分类号：
摘要：
Giant cell arteritis (GCA) is the most common systemic vasculitis in the elderly in Western countries. Anemia and very high erythrocyte sedimentation rates are associated with lower incidence of severe ischemic events. Temporal artery biopsy is the gold standard in the diagnosis of GCA. A threshold size of 1 cm of post-formalin fixed segment of the temporal artery was associated with increased diagnostic yield of GCA. Other tools such as ultrasound, MRI, and fluorodeoxyglucose positron emission tomography are useful in the diagnosis of GCA. Corticosteroids are the cornerstone treatment of GCA. Studies using other drugs have yielded contradictory results. Copyright © 2006 by Current Science Inc.
引用
收藏
页码：299 / 302
页数：3
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