Intraoperative findings during temporal artery biopsy: keys to optimise the diagnosis of giant cell arteritis.

Autor: Parreau S; Department of Internal Medicine, Limoges University Hospital Center, Limoges, France. Electronic address: simon.parreau@hotmail.com., Curumthaullee MF; Department of Ophthalmology, Limoges University Hospital Center, Limoges, France., Dumonteil S; Department of Internal Medicine, Limoges University Hospital Center, Limoges, France., Robert PY; Department of Ophthalmology, Limoges University Hospital Center, Limoges, France., Fauchais AL; Department of Internal Medicine, Limoges University Hospital Center, Limoges, France., Ly KH; Department of Internal Medicine, Limoges University Hospital Center, Limoges, France., Liozon É; Department of Internal Medicine, Limoges University Hospital Center, Limoges, France. Electronic address: eric.liozon@chu-limoges.fr.
Jazyk: angličtina
Zdroj: The British journal of oral & maxillofacial surgery [Br J Oral Maxillofac Surg] 2022 Jul; Vol. 60 (6), pp. 791-794. Date of Electronic Publication: 2021 Nov 26.
DOI: 10.1016/j.bjoms.2021.11.015
Abstrakt: The objective of this study was to describe the perioperative findings during temporal artery biopsy (TAB) and the characteristics associated with a diagnosis of giant cell arteritis (GCA). Perioperative findings were prospectively described by a single operator blinded to the clinical and laboratory characteristics of the patients on 40 consecutive TABs, of which 21 were positive (53%) for GCA. Patients with a TAB positive for GCA (TAB+) more frequently had abnormalities on palpation of the temporal artery than negative TAB (TAB-) patients (mainly pulse abolition (p=0.007), indurated artery (p=0.002), and painful artery (p=0.021)). The appearance of a big artery (p<0.001), a thickened artery (p<0.001), and an indurated artery at incision (p<0.001) was significantly associated with a positive TAB. A multivariate model identified a big artery, no local bleeding, and pain during artery traction as being associated with TAB positivity (sensitivity 71.4% and specificity 89.5%). The appearance of the temporal artery during TAB is important in predicting the positivity of the biopsy. Whether this should influence the optimal length of the TAB warrants a prospective study.
(Copyright © 2021 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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