Hernández Patricia, Al Jalbout Nour, Matza Mark, Kohler Minna J, Shokoohi Hamid
Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Cureus. 2023 Jul 24;15(7):e42350. doi: 10.7759/cureus.42350. eCollection 2023 Jul.
Giant cell arteritis (GCA), known as temporal arteritis, is a serious condition requiring immediate treatment to prevent complications. GCA can be difficult to diagnose, especially in emergency department (ED) settings where ophthalmology and rheumatology services may be unavailable. Temporal artery ultrasound (TAUS) is a valuable tool for diagnosing GCA. In the ED, TAUS can be used to quickly rule out GCA and avoid unindicated steroid treatment, which can cause serious morbidity in elderly patients. This article discusses the use of TAUS for evaluating patients with suspected GCA in the ED and its potential to expedite treatment and ensure appropriate, timely follow-up for patients with this potential vision and life-threatening condition.
巨细胞动脉炎(GCA),又称颞动脉炎,是一种严重疾病,需要立即治疗以预防并发症。GCA可能难以诊断,尤其是在眼科和风湿病服务可能无法提供的急诊科(ED)环境中。颞动脉超声(TAUS)是诊断GCA的一种有价值的工具。在急诊科,TAUS可用于快速排除GCA,并避免不必要的类固醇治疗,因为这可能会在老年患者中导致严重的发病率。本文讨论了在急诊科使用TAUS评估疑似GCA患者的情况,以及其在加快治疗和确保对患有这种可能危及视力和生命的疾病的患者进行适当、及时随访方面的潜力。