Journal ArticleDOI
Diagnosing giant cell arteritis: a comprehensive practical guide for the practicing rheumatologist
Peter M Andel,Stavros Chrysidis,Julia Geiger,Anne Bull Haaversen,Glenn Haugeberg,Glenn Haugeberg,G. Myklebust,Berit Dalsgaard Nielsen,A. Diamantopoulos +8 more
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TLDR
In this paper, a simple algorithm for diagnosing GCA for use by rheumatologists not working in specialist centres is proposed, based on a review of the current evidence on GCA diagnostics.Abstract:
GCA is the most common large vessel vasculitis in the elderly population. In recent years, advanced imaging has changed the way GCA can be diagnosed in many locations. The GCA fast-track clinic approach combined with US examination allows prompt treatment and diagnosis with high certainty. Fast-track clinics have been shown to improve prognosis while being cost effective. However, all diagnostic modalities are highly operator dependent, and in many locations expertise in advanced imaging may not be available. In this paper, we review the current evidence on GCA diagnostics and propose a simple algorithm for diagnosing GCA for use by rheumatologists not working in specialist centres.read more
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Extended ultrasound examination identifies more large vessel involvement in patients with giant cell arteritis.
Anne Bull Haaversen,Lene Kristin Brekke,Tanaz A. Kermani,Øyvind Molberg,Andreas P. Diamantopoulos +4 more
TL;DR: Extended A2-ultrasound examination, identified more patients with LV involvement than limited ultrasound method, but requires high expertise and high-end equipment and should be performed by ultrasonographers with adequate training.
Journal ArticleDOI
Diagnostic accuracy of vascular ultrasound in patients with suspected giant cell arteritis (EUREKA): a prospective, multicentre, non-interventional, cohort study
Stavros Chrysidis,Stavros Chrysidis,Stavros Chrysidis,Uffe Møller Døhn,Lene Terslev,Ulrich Fredberg,Ulrich Fredberg,Tove Lorenzen,Robin Christensen,Robin Christensen,Knud Larsen,A. Diamantopoulos +11 more
TL;DR: In this paper, the authors evaluated the diagnostic accuracy of ultrasound examination in patients with suspected giant cell arteritis and found that ultrasound was the strongest baseline predictor for a clinically confirmed diagnosis at 6 months (crude odds ratio 76·6 [95% CI 21·0−280·0]; adjusted for sex and age 141·0 [27·0 −743·0]
Journal ArticleDOI
Norwegian society of rheumatology recommendations on diagnosis and treatment of patients with giant cell arteritis
Anne Christine Bull Haaversen,Lene Kristin Brekke,Gunnstein Bakland,Erik Rødevand,G. Myklebust,Andreas P. Diamantopoulos +5 more
TL;DR: In this paper , the authors provide clinical guidance to Norwegian Rheumatologists and other clinicians involved in diagnosing and treating patients with giant cell arteritis (GCA) using the available evidence in the field.
Journal ArticleDOI
Current developments in the diagnosis and treatment of giant cell arteritis
Denes Szekeres,Bayan Al Othman +1 more
TL;DR: Giant cell arteritis is the most common vasculitis in adults above 50 years old as mentioned in this paper , which is characterized by granulomatous inflammation of medium and large arteries, particularly the temporal artery, and is associated with headache, claudication, and visual disturbances.
Journal ArticleDOI
Diagnostic Modalities in Giant Cell Arteritis
TL;DR: Andersen, Tomas MD, MPH; Tamhankar, Madhura A. MD; Song, Jae W. MD, MS Author Information http://www.thesun.edu.
References
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Journal ArticleDOI
The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis
Gene G. Hunder,Gene G. Hunder,Daniel A. Bloch,Daniel A. Bloch,Beat A. Michel,Mary Betty Stevens,Mary Betty Stevens,William P. Arend,William P. Arend,Leonard H. Calabrese,Leonard H. Calabrese,Steven M. Edworthy,Steven M. Edworthy,Anthony S. Fauci,Anthony S. Fauci,Randi Y. Leavitt,J. T. Lie,J. T. Lie,Robert W. Lightfoot,Robert W. Lightfoot,Alfonse T. Masi,Alfonse T. Masi,Dennis J. McShane,Dennis J. McShane,John A. Mills,John A. Mills,Stanley L. Wallace,Stanley L. Wallace,Nathan J. Zvaifler,Nathan J. Zvaifler +29 more
TL;DR: Criteria for the classification of giant cell (temporal) arteritis were developed by comparing 214 patients who had this disease with 593 patients with other forms of vasculitis, and 2 other variables were included: scalp tenderness and claudication of the jaw or tongue or on deglutition.
Journal ArticleDOI
Trial of Tocilizumab in Giant-Cell Arteritis.
John H. Stone,Katie Tuckwell,Sophie Dimonaco,Micki Klearman,Martin Aringer,Daniel Engelbert Blockmans,Elisabeth Brouwer,Maria C. Cid,Bhaskar Dasgupta,Juergen Rech,Carlo Salvarani,Georg Schett,Hendrik Schulze-Koops,Robert Spiera,Sebastian Unizony,Neil Collinson +15 more
TL;DR: Tocilizumab, received weekly or every other week, combined with a 26‐week prednisone taper was superior to either 26‐ week or 52‐weekprednisone tapering plus placebo with regard to sustained glucocorticoid‐free remission in patients with giant‐cell arteritis.
Journal ArticleDOI
Medium- and Large-Vessel Vasculitis
TL;DR: The mechanisms that contribute to the causes of giant-cell arteritis are reviewed, with an emphasis on immune-mediated injury to arteries.
Journal ArticleDOI
EULAR recommendations for the use of imaging in large vessel vasculitis in clinical practice.
Christian Dejaco,Sofia Ramiro,Christina Duftner,Florent L. Besson,Thorsten A. Bley,Daniel Engelbert Blockmans,Elisabeth Brouwer,Marco A. Cimmino,Eric Clark,Bhaskar Dasgupta,Bhaskar Dasgupta,Andreas P. Diamantopoulos,Haner Direskeneli,Annamaria Iagnocco,Thorsten Klink,Lorna Neill,Cristina Ponte,Carlo Salvarani,Riemer H. J. A. Slart,Madeline Whitlock,Wolfgang A. Schmidt +20 more
TL;DR: The task force recommends an early imaging test in patients with suspected LVV, with ultrasound and MRI being the first choices in GCA and TAK, respectively, which are the first EULAR recommendations providing up-to-date guidance for the role of imaging in the diagnosis and monitoring of patients with (suspected) LVV.
Journal ArticleDOI
Color Duplex Ultrasonography in the Diagnosis of Temporal Arteritis
TL;DR: In patients with typical clinical signs and a halo on ultrasonography, it may be possible to make a diagnosis of temporal arteritis and begin treatment without performing a temporal-artery biopsy.