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活检阴性巨细胞动脉炎——修订后的诊断标准:巨细胞动脉炎诊断标准。

Biopsy negative giant cell arteritis-Revised diagnostic criteria: Giant cell arteritis diagnostic criteria.

机构信息

Department of Neurology, Hartford Hospital and University of Connecticut School of Medicine, Hartford, CT, United State.

出版信息

J Stroke Cerebrovasc Dis. 2022 Oct;31(10):106660. doi: 10.1016/j.jstrokecerebrovasdis.2022.106660. Epub 2022 Aug 13.

Abstract

BACKGROUND

Diagnosis of giant cell arteritis has traditionally relied on demonstration of pathologic changes on temporal artery biopsy.

METHOD

To highlight recent advances in large vessel imaging resulting in revised diagnostic criteria for giant cell arteritis.

CONCLUSION

We call attention to the revised diagnostic criteria imaging evidence of extracranial large vessel thickening as an alternative to temporal artery biopsy in diagnosis of giant cell arteritis in a patient with heralding anterior fornix infarct.

摘要

背景

巨细胞动脉炎的传统诊断依赖于颞动脉活检显示的病理改变。

方法

强调大血管成像方面的最新进展,由此修订巨细胞动脉炎的诊断标准。

结论

我们提请注意修订后的诊断标准,即颅外大血管增厚的影像学证据,可替代颞动脉活检,用于诊断有先兆前房梗死的巨细胞动脉炎患者。

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