既往类固醇治疗对巨细胞动脉炎颞动脉活检结果的影响。
Effect of prior steroid treatment on temporal artery biopsy findings in giant cell arteritis.
作者信息
Ray-Chaudhuri N, Kiné D Ah, Tijani S O, Parums D V, Cartlidge N, Strong N P, Dayan M R
机构信息
Department of Ophthalmology, Royal Victoria Infirmary, Newcastle upon Tyne.
出版信息
Br J Ophthalmol. 2002 May;86(5):530-2. doi: 10.1136/bjo.86.5.530.
Abstract
AIM
To examine the effect of up to 6 weeks of corticosteroid treatment on the positive temporal artery biopsy rate in giant cell arteritis (GCA).
METHODS
Prospective comparative clinical study of 11 patients meeting the American College of Rheumatology criteria for diagnosis of GCA. Patients underwent temporal artery biopsy within 1 week, at 2-3 weeks, or after 4 weeks of corticosteroid treatment.
RESULTS
Overall, nine of 11 (82%) patients had positive temporal artery biopsies. Six of seven (86%) biopsies performed after 4 or more weeks of steroid treatment were positive.
CONCLUSION
Temporal artery biopsy is useful several weeks after institution of steroids.
摘要
目的
研究长达6周的皮质类固醇治疗对巨细胞动脉炎（GCA）颞动脉活检阳性率的影响。
方法
对11例符合美国风湿病学会GCA诊断标准的患者进行前瞻性对照临床研究。患者在皮质类固醇治疗1周内、2 - 3周或4周后接受颞动脉活检。
结果
总体而言，11例患者中有9例（82%）颞动脉活检呈阳性。在接受类固醇治疗4周或更长时间后进行的7次活检中有6次（86%）呈阳性。
结论
在使用类固醇治疗数周后进行颞动脉活检是有用的。
相似文献
1
Effect of prior steroid treatment on temporal artery biopsy findings in giant cell arteritis.既往类固醇治疗对巨细胞动脉炎颞动脉活检结果的影响。
Br J Ophthalmol. 2002 May;86(5):530-2. doi: 10.1136/bjo.86.5.530.
2
Temporal arteritis with erythrocyte sedimentation rate <50 mm/h: a clinical reminder.红细胞沉降率<50mm/h的颞动脉炎：临床提示
Clin Interv Aging. 2016 Feb 23;11:185-8. doi: 10.2147/CIA.S40919. eCollection 2016.
3
The effect of clinical features and glucocorticoids on biopsy findings in giant cell arteritis.临床特征和糖皮质激素对巨细胞动脉炎活检结果的影响。
BMC Musculoskelet Disord. 2016 Aug 24;17(1):363. doi: 10.1186/s12891-016-1225-2.
4
Histological parameters helpful in recognising steroid-treated temporal arteritis: an analysis of 35 cases.有助于识别类固醇治疗的颞动脉炎的组织学参数：35例分析
Br J Ophthalmol. 2007 Feb;91(2):204-9. doi: 10.1136/bjo.2006.101725. Epub 2006 Sep 20.
5
Giant cell arteritis: diagnostic accuracy of MR imaging of superficial cranial arteries in initial diagnosis-results from a multicenter trial.巨细胞动脉炎：头浅动脉磁共振成像在初始诊断中的诊断准确性——多中心试验结果。
Radiology. 2014 Dec;273(3):844-52. doi: 10.1148/radiol.14140056. Epub 2014 Aug 6.
6
Influence of previous corticosteroid therapy on temporal artery biopsy yield in giant cell arteritis.既往皮质类固醇治疗对巨细胞动脉炎颞动脉活检阳性率的影响。
Semin Arthritis Rheum. 2007 Aug;37(1):13-9. doi: 10.1016/j.semarthrit.2006.12.005. Epub 2007 Mar 23.
7
Initiation of glucocorticoid therapy: before or after temporal artery biopsy?糖皮质激素治疗的起始：在颞动脉活检之前还是之后？
Mayo Clin Proc. 2004 Apr;79(4):483-91. doi: 10.4065/79.4.483.
8
Temporal artery biopsy is not required in all cases of suspected giant cell arteritis.并非所有疑似巨细胞动脉炎的病例都需要进行颞动脉活检。
Ann Vasc Surg. 2012 Jul;26(5):649-54. doi: 10.1016/j.avsg.2011.10.009. Epub 2012 Jan 30.
9
Audit of the management of suspected giant cell arteritis in a large teaching hospital.大型教学医院疑似巨细胞动脉炎管理情况的审计
Intern Med J. 2002 Jul;32(7):315-9. doi: 10.1046/j.1445-5994.2002.00225.x.
10
The effect of temporal artery biopsy on the treatment of temporal arteritis.颞动脉活检对颞动脉炎治疗的影响。
Am J Surg. 2015 Feb;209(2):338-41. doi: 10.1016/j.amjsurg.2014.07.007. Epub 2014 Oct 13.
引用本文的文献
1
Does tocilizumab eliminate inflammation in GCA? A cohort study on repeated temporal artery biopsies.托珠单抗能否消除巨细胞动脉炎中的炎症？一项关于重复颞动脉活检的队列研究。
RMD Open. 2024 Dec 31;10(4):e005132. doi: 10.1136/rmdopen-2024-005132.
2
Temporal artery biopsy in giant cell arteritis: clinical perspectives and histological patterns.巨细胞动脉炎的颞动脉活检：临床观点与组织学模式
Front Med (Lausanne). 2024 Sep 25;11:1453462. doi: 10.3389/fmed.2024.1453462. eCollection 2024.
3
Halo sign on temporal artery ultrasound versus temporal artery biopsy for giant cell arteritis.颞动脉超声的“晕征”与颞动脉活检在巨细胞动脉炎中的比较。
Cochrane Database Syst Rev. 2024 Feb 7;2(2):CD013199. doi: 10.1002/14651858.CD013199.pub2.
4
Multimodality Imaging in Cranial Giant Cell Arteritis: First Experience with High-Resolution T1-Weighted 3D Black Blood without Contrast Enhancement Magnetic Resonance Imaging.颅巨细胞动脉炎的多模态成像：无对比剂增强的高分辨率T1加权三维黑血磁共振成像的首次经验
Diagnostics (Basel). 2023 Dec 29;14(1):81. doi: 10.3390/diagnostics14010081.
5
Temporal artery biopsy for suspected giant cell arteritis: A mini review.疑似巨细胞动脉炎的颞动脉活检：小型综述。
Indian J Ophthalmol. 2023 Oct;71(10):3299-3304. doi: 10.4103/IJO.IJO_3163_22.
6
Role of Temporal artery biopsy in a sequential Giant Cell Arteritis fast-track pathway: a 5-year prospective study.颞动脉活检在巨细胞动脉炎快速通道中的作用：一项 5 年前瞻性研究。
Eye (Lond). 2023 Jun;37(8):1614-1618. doi: 10.1038/s41433-022-02132-0. Epub 2022 Aug 10.
7
Utilization of the Revised American College of Rheumatology (rACR) Scoring to Avoid Unnecessary Temporal Artery Biopsies-A Case Series.利用修订后的美国风湿病学会（rACR）评分避免不必要的颞动脉活检——病例系列。
Med Sci (Basel). 2022 Feb 8;10(1):11. doi: 10.3390/medsci10010011.
8
2021 American College of Rheumatology/Vasculitis Foundation Guideline for the Management of Giant Cell Arteritis and Takayasu Arteritis.2021 年美国风湿病学会/脉管炎基金会巨细胞动脉炎和 Takayasu 动脉炎管理指南。
Arthritis Rheumatol. 2021 Aug;73(8):1349-1365. doi: 10.1002/art.41774. Epub 2021 Jul 8.
9
2021 American College of Rheumatology/Vasculitis Foundation Guideline for the Management of Giant Cell Arteritis and Takayasu Arteritis.2021 年美国风湿病学会/血管炎基金会巨细胞动脉炎和 Takayasu 动脉炎管理指南。
Arthritis Care Res (Hoboken). 2021 Aug;73(8):1071-1087. doi: 10.1002/acr.24632. Epub 2021 Jul 8.
10
Giant Cell Arteritis: A Systematic Review and Meta-Analysis of Test Accuracy and Benefits and Harms of Common Treatments.巨细胞动脉炎：常见治疗方法的检测准确性、益处及危害的系统评价与荟萃分析
ACR Open Rheumatol. 2021 Jul;3(7):429-441. doi: 10.1002/acr2.11226. Epub 2021 Apr 2.
本文引用的文献
1
Efficacy of unilateral versus bilateral temporal artery biopsies for the diagnosis of giant cell arteritis.单侧与双侧颞动脉活检对巨细胞动脉炎的诊断效能
Am J Ophthalmol. 1999 Aug;128(2):211-5. doi: 10.1016/s0002-9394(99)00101-4.
2
Positive temporal artery biopsy 6 months after prednisone treatment.泼尼松治疗6个月后颞动脉活检结果呈阳性。
Arch Ophthalmol. 1998 Sep;116(9):1252-3.
3
Risk factors and predictive models of giant cell arteritis in polymyalgia rheumatica.风湿性多肌痛中巨细胞动脉炎的危险因素及预测模型
Am J Med. 1997 Apr;102(4):331-6. doi: 10.1016/s0002-9343(97)00117-4.
4
Giant cell arteritis: new concepts in pathogenesis and implications for management.
Am J Ophthalmol. 1997 Mar;123(3):392-5. doi: 10.1016/s0002-9394(14)70136-9.
5
Giant cell arteritis: validity and reliability of various diagnostic criteria.巨细胞动脉炎：各种诊断标准的有效性和可靠性。
Am J Ophthalmol. 1997 Mar;123(3):285-96. doi: 10.1016/s0002-9394(14)70123-0.
6
How does previous corticosteroid treatment affect the biopsy findings in giant cell (temporal) arteritis?既往使用皮质类固醇治疗如何影响巨细胞（颞）动脉炎的活检结果？
Ann Intern Med. 1994 Jun 15;120(12):987-92. doi: 10.7326/0003-4819-120-12-199406150-00003.
7
Temporal artery biopsy after one month of corticosteroid therapy.皮质类固醇治疗一个月后的颞动脉活检。
Am J Ophthalmol. 1994 Feb 15;117(2):265-7. doi: 10.1016/s0002-9394(14)73091-0.
8
Analysis of steroid related complications and mortality in temporal arteritis: a 15-year survey of 43 patients.
J Rheumatol. 1994 Jul;21(7):1283-6.
9
The clinical value of negative temporal artery biopsy specimens.
Arch Ophthalmol. 1983 Aug;101(8):1251-4. doi: 10.1001/archopht.1983.01040020253019.
10
Temporal artery biopsy and corticosteroid treatment.颞动脉活检及皮质类固醇治疗。
Ann Rheum Dis. 1984 Jun;43(3):416-7. doi: 10.1136/ard.43.3.416.
Zotero 插件