Stańska Wiktoria, Kruszewski Robert, Juszkiewicz Aleksandra, Bachta Artur, Tłustochowicz Witold
Department of Internal Medicine and Rheumatology, Military Institute of Medicine-National Research Institute, 04-141 Warsaw, Poland.
Diagnostics (Basel). 2024 Sep 19;14(18):2071. doi: 10.3390/diagnostics14182071.
Giant cell arteritis (GCA) is a rare disease of the arteries, occurring mainly in the elderly. Although the involvement of temporal arteries can be mostly symptomatic, the occlusion of ophthalmic arteries has severe consequences. GCA affecting temporal arteries is an emergency requiring quick commencement of treatment with glucocorticoids due to the serious consequences of neglect-blindness. According to the new guidelines released by EULAR, ultrasound is the tool of choice in support of the clinical diagnosis of giant cell arteritis, replacing temporal artery biopsy (TAB), as it is a sensitive and non-invasive method that is widely available. The main limitation is that the reliability of this imaging is based on the technical expertise of ultrasonographers. However, performing imaging should not delay commencing the treatment. In this work, we present ultrasound images from a case report of a 74-year-old female patient where difficulties in establishing a diagnosis led to vision loss in both eyes. In this example, we describe the ultrasound findings in giant cell arteritis, emphasizing its usefulness in supporting a diagnosis of GCA.
巨细胞动脉炎（GCA）是一种罕见的动脉疾病，主要发生于老年人。虽然颞动脉受累大多有症状，但眼动脉闭塞会产生严重后果。由于忽视失明的严重后果，累及颞动脉的GCA是一种需要迅速开始使用糖皮质激素治疗的急症。根据欧洲抗风湿病联盟（EULAR）发布的新指南，超声是支持巨细胞动脉炎临床诊断的首选工具，取代了颞动脉活检（TAB），因为它是一种敏感且非侵入性的方法，广泛可用。主要局限性在于这种成像的可靠性取决于超声检查人员的技术专长。然而，进行成像不应延迟开始治疗。在这项工作中，我们展示了一名74岁女性患者病例报告的超声图像，该患者在诊断过程中遇到困难，导致双眼视力丧失。在这个例子中，我们描述了巨细胞动脉炎的超声表现，强调其在支持GCA诊断方面的有用性。
