Doppler ultrasonography of superficial temporal artery in a cohort of patients with strong clinical suspicion of giant cell arteritis.

Autor:	Estrada Alarcón P; Servei de Reumatologia, Hospital Moisès Broggi, Consorci Sanitari Integral (CSI), Sant Joan Despí (Barcelona), España; Servei de Reumatologia, Hospital General de L'Hospitalet, Consorci Sanitari Integral (CSI), L'Hospitalet (Barcelona), España., Reina D; Servei de Reumatologia, Hospital Moisès Broggi, Consorci Sanitari Integral (CSI), Sant Joan Despí (Barcelona), España; Servei de Reumatologia, Hospital General de L'Hospitalet, Consorci Sanitari Integral (CSI), L'Hospitalet (Barcelona), España., Navarro Ángeles V; Servei de Reumatologia, Hospital Moisès Broggi, Consorci Sanitari Integral (CSI), Sant Joan Despí (Barcelona), España; Servei de Reumatologia, Hospital General de L'Hospitalet, Consorci Sanitari Integral (CSI), L'Hospitalet (Barcelona), España., Cerdà D; Servei de Reumatologia, Hospital Moisès Broggi, Consorci Sanitari Integral (CSI), Sant Joan Despí (Barcelona), España; Servei de Reumatologia, Hospital General de L'Hospitalet, Consorci Sanitari Integral (CSI), L'Hospitalet (Barcelona), España., Roig-Vilaseca D; Servei de Reumatologia, Hospital Moisès Broggi, Consorci Sanitari Integral (CSI), Sant Joan Despí (Barcelona), España; Servei de Reumatologia, Hospital General de L'Hospitalet, Consorci Sanitari Integral (CSI), L'Hospitalet (Barcelona), España., Corominas H; Servei de Reumatologia, Hospital Moisès Broggi, Consorci Sanitari Integral (CSI), Sant Joan Despí (Barcelona), España; Servei de Reumatologia, Hospital General de L'Hospitalet, Consorci Sanitari Integral (CSI), L'Hospitalet (Barcelona), España. Electronic address: vancor@yahoo.com.
Jazyk:	English; Spanish; Castilian
Zdroj:	Medicina clinica [Med Clin (Barc)] 2019 Aug 16; Vol. 153 (4), pp. 151-153. Date of Electronic Publication: 2018 Jun 02.
DOI:	10.1016/j.medcli.2018.04.016
Abstrakt:	Background and Objective: Giant cell arteritis (GCA) is the most frequent systemic vasculitis in adults. In recent years, the usefulness of temporal artery ultrasound (TAUS) as a diagnostic tool to assess the underlying inflammation of the vascular wall during the inflammatory process has been under clinical investigation. Material and Methods: Observational and descriptive cohort study of 120 TAUS in 60 patients with clinical suspicions of GCA, according to the ACR (American College of Rheumatology) classification criteria. Results: Among all patients who underwent ultrasound, 42.3% met clinical criteria for GCA according to ACR. Sensitivity and specificity of TAUS in our cohort with clinical suspicion was 81.8% and 93.3%, respectively. A PPV of 90.1% and a VPN of 87.5% were observed. Conclusion: Our results showed that TAUS as a useful, indolent, fast, and accessible tool with high diagnostic specificity and diagnostic value. (Copyright © 2018. Published by Elsevier España, S.L.U.)
Databáze:	MEDLINE
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