Ultrasound Technologies and the Diagnosis of Giant Cell Arteritis
| Autor: | Silviana Nina Jianu, Any Docu Axelerad, Traian Flavius Dan, Claudiu Dumitru Bîrdac, Anca Elena Gogu, Dragoș Cătălin Jianu, Andrei Gheorghe Marius Motoc, Ligia Petrica, Georgiana Munteanu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
genetic structures QH301-705.5 Diastole Medicine (miscellaneous) Review color Doppler imaging (CDI) of the orbital vessels General Biochemistry Genetics and Molecular Biology Edema medicine Arteritis Biology (General) business.industry Ultrasound “dark halo” sign medicine.disease eye diseases Stenosis Giant cell arteritis cardiovascular system Central retinal artery occlusion giant cell arteritis (GCA) Temporal artery sense organs Radiology medicine.symptom business |
| Zdroj: | Biomedicines, Vol 9, Iss 1801, p 1801 (2021) Biomedicines |
| ISSN: | 2227-9059 |
| DOI: | 10.3390/biomedicines9121801 |
| Popis: | Giant cell arteritis (GCA) is a primary autoimmune vasculitis that specifically affects medium-sized extracranial arteries, like superficial temporal arteries (TAs). The most important data to be considered for the ultrasound (US) diagnosis of temporal arteritis are stenosis, acute occlusions and “dark halo” sign, which represent the edema of the vascular wall. The vessel wall thickening of large vessels in GCA can be recognized by the US, which has high sensitivity and is facile to use. Ocular complications of GCA are common and consist especially of anterior arterial ischemic optic neuropathies or central retinal artery occlusion with sudden, painless, and sharp loss of vision in the affected eye. Color Doppler imaging of the orbital vessels (showing low-end diastolic velocities and a high resistance index) is essential to quickly differentiate the mechanism of ocular involvement (arteritic versus non-arteritic), since the characteristics of TAs on US do not correspond with ocular involvement on GCA. GCA should be cured immediately with systemic corticosteroids to avoid further visual loss of the eyes. |
| Databáze: | OpenAIRE |
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