Doppler ultrasound and giant cell arteritis

Ana Marina Suelves1, Enrique Espa&ntilde;a-Gregori1,2, Jose Tembl3, Stephanie Rohrweck1, Jose Maria Mill&aacute;n4, Manuel D&iacute;az-Llopis1,4,51Service of Ophthalmology, La Fe University Hospital, Valencia, Spain; 2Department of Optics, University of Valencia, Valencia, Sp...

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Autores principales:	Ana Marina Suelves, Enrique Espa&ntilde;a-Gregori, Jose Tembl, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/847bf74e69524bfca29064a97a74b048
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spelling	oai:doaj.org-article:847bf74e69524bfca29064a97a74b0482021-12-02T02:56:49ZDoppler ultrasound and giant cell arteritis1177-54671177-5483https://doaj.org/article/847bf74e69524bfca29064a97a74b0482010-11-01T00:00:00Zhttp://www.dovepress.com/doppler-ultrasound-and-giant-cell-arteritis-a5757https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Ana Marina Suelves1, Enrique Espa&ntilde;a-Gregori1,2, Jose Tembl3, Stephanie Rohrweck1, Jose Maria Mill&aacute;n4, Manuel D&iacute;az-Llopis1,4,51Service of Ophthalmology, La Fe University Hospital, Valencia, Spain; 2Department of Optics, University of Valencia, Valencia, Spain; 3Service of Neurology, La Fe University Hospital, Valencia, Spain; 4CIBERER, Ciber de Enfermedades Raras, Valencia, Spain; 5Faculty of Medicine, University of Valencia, Valencia, SpainObjective: To evaluate the utility of ultrasound in aiding the diagnosis of giant cell arteritis (GCA), in monitoring the response to corticotherapy, and in detecting early relapses.Methods: A pilot study, prospective, included 10 patients with suspected GCA. All patients underwent ultrasound examination of both temporal arteries before temporal artery biopsy (TAB), 3 weeks after starting treatment, and 3 months after diagnosis. For this study, the histological findings alone were used to define if patients were suffering from GCA. The findings on ultrasound were compared with the results of biopsy. The best place to perform TAB was observed by ultrasound.Results: All patients with positive biopsy were detected with ultrasound. No false positives were observed on ultrasound. The results presented give a sensibility, specificity, and positive predictive value of 100% for the use of ultrasound in the diagnosis of GCA. Two relapses were detected early by ultrasound during the follow-up.Conclusions: This pilot study suggests that eco-doppler may be a useful tool in diagnosis and clinic follow-up in patients with suspected GCA.Keywords: giant cell arteritis, ultrasound, temporal artery biopsy, optic nerve Ana Marina SuelvesEnrique Espa&ntilde;a-GregoriJose Temblet alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 1383-1384 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Ana Marina Suelves Enrique Espa&ntilde;a-Gregori Jose Tembl et al Doppler ultrasound and giant cell arteritis
description	Ana Marina Suelves1, Enrique Espa&ntilde;a-Gregori1,2, Jose Tembl3, Stephanie Rohrweck1, Jose Maria Mill&aacute;n4, Manuel D&iacute;az-Llopis1,4,51Service of Ophthalmology, La Fe University Hospital, Valencia, Spain; 2Department of Optics, University of Valencia, Valencia, Spain; 3Service of Neurology, La Fe University Hospital, Valencia, Spain; 4CIBERER, Ciber de Enfermedades Raras, Valencia, Spain; 5Faculty of Medicine, University of Valencia, Valencia, SpainObjective: To evaluate the utility of ultrasound in aiding the diagnosis of giant cell arteritis (GCA), in monitoring the response to corticotherapy, and in detecting early relapses.Methods: A pilot study, prospective, included 10 patients with suspected GCA. All patients underwent ultrasound examination of both temporal arteries before temporal artery biopsy (TAB), 3 weeks after starting treatment, and 3 months after diagnosis. For this study, the histological findings alone were used to define if patients were suffering from GCA. The findings on ultrasound were compared with the results of biopsy. The best place to perform TAB was observed by ultrasound.Results: All patients with positive biopsy were detected with ultrasound. No false positives were observed on ultrasound. The results presented give a sensibility, specificity, and positive predictive value of 100% for the use of ultrasound in the diagnosis of GCA. Two relapses were detected early by ultrasound during the follow-up.Conclusions: This pilot study suggests that eco-doppler may be a useful tool in diagnosis and clinic follow-up in patients with suspected GCA.Keywords: giant cell arteritis, ultrasound, temporal artery biopsy, optic nerve
format	article
author	Ana Marina Suelves Enrique Espa&ntilde;a-Gregori Jose Tembl et al
author_facet	Ana Marina Suelves Enrique Espa&ntilde;a-Gregori Jose Tembl et al
author_sort	Ana Marina Suelves
title	Doppler ultrasound and giant cell arteritis
title_short	Doppler ultrasound and giant cell arteritis
title_full	Doppler ultrasound and giant cell arteritis
title_fullStr	Doppler ultrasound and giant cell arteritis
title_full_unstemmed	Doppler ultrasound and giant cell arteritis
title_sort	doppler ultrasound and giant cell arteritis
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/847bf74e69524bfca29064a97a74b048
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Doppler ultrasound and giant cell arteritis

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