| Autor: |
Anne Christine Bull Haaversen, Lene Kristin Brekke, Tanaz A Kermani, Øyvind Molberg, Andreas P Diamantopoulos |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Rheumatology (Oxford, England). |
| ISSN: |
1462-0332 |
| Popis: |
Objectives To compare limited with a more extended ultrasound examination (anteromedial ultrasound, A2-ultrasound) to detect large vessel (LV) involvement in patients with newly diagnosed GCA. Methods Patients with new-onset GCA were included at the time of diagnosis. All patients were examined using limited ultrasound (ultrasound of the axillary artery as visualized in the axilla) and an extended A2-ultrasound method (which also includes the carotid, vertebral, subclavian and proximal axillary arteries), in addition to temporal artery ultrasound. Results One hundred and thirty-three patients were included in the study. All patients fulfilled the criteria according to a proposed extension of the 1990 ACR classification criteria for GCA and had a positive ultrasound examination at diagnosis. Ninety-three of the 133 GCA patients (69.9%) had LV involvement when examined by extended A2-ultrasound, compared with only 56 patients (42.1%) by limited ultrasound (P Conclusion Extended A2-ultrasound examination identified more patients with LV involvement than the limited ultrasound method. However, extended A2-ultrasound requires high expertise and high-end equipment and should be performed by ultrasonographers with adequate training. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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