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本文引用的文献

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Recommendations for early referral of individuals with suspected polymyalgia rheumatica: an initiative from the international giant cell arteritis and polymyalgia rheumatica study group.疑似巨细胞动脉炎和多发性肌炎患者的早期转介建议:国际巨细胞动脉炎和多发性肌炎研究组的倡议。
Ann Rheum Dis. 2024 Oct 21;83(11):1436-1442. doi: 10.1136/ard-2023-225134.
2
Imaging in diagnosis, monitoring and outcome prediction of large vessel vasculitis: a systematic literature review and meta-analysis informing the 2023 update of the EULAR recommendations.大血管血管炎的诊断、监测和预后评估中的影像学:系统文献回顾和荟萃分析,为 2023 年 EULAR 建议更新提供信息。
RMD Open. 2023 Aug;9(3). doi: 10.1136/rmdopen-2023-003379.
3
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Ann Rheum Dis. 2024 May 15;83(6):741-751. doi: 10.1136/ard-2023-224543.
4
Model curriculum of the German society for Rheumatology for advanced training in the discipline internal medicine and rheumatology. English version.德国风湿病学会内科与风湿病高级培训示范课程。英文版。
Z Rheumatol. 2021 Dec;80(Suppl 2):64-67. doi: 10.1007/s00393-021-01080-6. Epub 2021 Oct 4.
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Fast-Track Ultrasound Clinic for the Diagnosis of Giant Cell Arteritis Changes the Prognosis of the Disease but Not the Risk of Future Relapse.用于诊断巨细胞动脉炎的快速超声诊所改变了疾病的预后,但未改变未来复发风险。
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Ultrasound in the diagnosis and management of giant cell arteritis.超声在巨细胞动脉炎的诊断和治疗中的应用。
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Assessing Vasculitis in Giant Cell Arteritis by Ultrasound: Results of OMERACT Patient-based Reliability Exercises.采用超声评估巨细胞动脉炎中的血管炎:OMERACT 基于患者的可靠性研究结果。
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Fast track pathway reduces sight loss in giant cell arteritis: results of a longitudinal observational cohort study.快速通道方案可减少巨细胞动脉炎导致的视力丧失:一项纵向观察性队列研究的结果
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关于定义巨细胞动脉炎快速通道诊所的建议。英文版。

Recommendations for defining giant cell arteritis fast-track clinics. English version.

作者信息

Schmidt Wolfgang A, Czihal Michael, Gernert Michael, Hartung Wolfgang, Hellmich Bernhard, Ohrndorf Sarah, Riemekasten Gabriela, Schäfer Valentin S, Strunk Johannes, Venhoff Nils

机构信息

Klinik für Innere Medizin, Abteilung Rheumatologie und Klinische Immunologie, Standort Berlin-Buch, Immanuel Krankenhaus Berlin, Lindenberger Weg 19, 13125, Berlin, Germany.

Sektion Angiologie-LMU-Klinikum, Medizinische Klinik und Poliklinik IV, München, Germany.

出版信息

Z Rheumatol. 2024 Dec;83(Suppl 3):285-288. doi: 10.1007/s00393-024-01532-9. Epub 2024 Jun 4.

DOI:10.1007/s00393-024-01532-9
PMID:38832967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11655567/
Abstract

A German expert committee recommends defining fast-track clinics (FTC) for the acute diagnosis of giant cell arteritis (GCA) as follows: easy and prompt reachability at least on weekdays, scheduling appointments ideally within 24 h, examination by a specialist with GCA expertise, ≥ 2 experts per FTC, ≥ 50 patients with suspected GCA per year, sonologists with ≥ 300 (≥ 50) temporal and axillary artery examinations, adherence to standard operating procedures, availability of an ≥ 18 (≥ 15) MHz and a lower frequency linear ultrasound probe, and collaboration with partners for neurology and ophthalmology consultations, magnetic resonance imaging (MRI), positron emission tomography-computed tomography (PET-CT, possibly CT), and for temporal artery biopsy.

摘要

一个德国专家委员会建议将用于巨细胞动脉炎(GCA)急性诊断的快速通道诊所(FTC)定义如下:至少在工作日易于快速就诊,理想情况下在24小时内安排预约,由具有GCA专业知识的专家进行检查,每个FTC至少有2名专家,每年至少有50例疑似GCA患者,超声科医生每年进行至少300次(至少50次)颞动脉和腋动脉检查,遵守标准操作程序,具备至少18(至少15)兆赫的高频和低频线性超声探头,以及与神经科和眼科会诊、磁共振成像(MRI)、正电子发射断层扫描-计算机断层扫描(PET-CT,可能是CT)及颞动脉活检的合作伙伴开展协作。