Germanò Giuseppe, Monti Sara, Ponte Cristina, Possemato Niccolo', Caporali Roberto, Salvarani Carlo, Macchioni Pierluigi, Pipitone Nicolò
Rheumatology Unit, Department of Internal Medicine, Azienda Ospedaliera ASMN, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia, Italy.
Department of Rheumatology, University of Pavia, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Clin Exp Rheumatol. 2017 Mar-Apr;35 Suppl 103(1):194-198. Epub 2017 Mar 29.
Large-vessel vasculitides comprise giant cell arteritis and Takayasu's arteritis. In both conditions, early changes consist of transmural inflammation of the arterial wall, while later complications include lumen changes, such as stenoses or aneurysms. Colour Doppler sonography has the ability to depict the arterial wall as well as the lumen, and is therefore ideally suited both to diagnose early vasculitis and to monitor patients over time. In this review article, we addressed the following issues: 1) the role of colour Doppler sonography in the diagnosis of large-vessel vasculitis and its common pitfalls; 2) whether colour Doppler sonography can increase the yield of temporal artery biopsy in giant cell arteritis; 3) the role of colour Doppler sonography in monitoring patients with LVV over time; and 4) how colour Doppler sonography performs compared to other imaging techniques.
大血管血管炎包括巨细胞动脉炎和高安动脉炎。在这两种疾病中，早期变化包括动脉壁的透壁性炎症，而后期并发症包括管腔变化，如狭窄或动脉瘤。彩色多普勒超声能够显示动脉壁和管腔，因此非常适合早期血管炎的诊断以及对患者进行长期监测。在这篇综述文章中，我们探讨了以下问题：1）彩色多普勒超声在大血管血管炎诊断中的作用及其常见陷阱；2）彩色多普勒超声能否提高巨细胞动脉炎颞动脉活检的阳性率；3）彩色多普勒超声在长期监测大血管血管炎患者中的作用；4）与其他成像技术相比，彩色多普勒超声的表现如何。
