Giant cell arteritis

Lazarewicz, Karina; Watson, Pippa

doi:10.1136/bmj.l1964

Cited by 23 publications

(18 citation statements)

References 20 publications

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“…The complementary ultrasound study was performed by duplex of the cervical and intracranial carotid system and of the anterior and posterior intracranial circulation (linear 3–9 MHz and sectorial 1–4 MHz probes, respectively) (Esaote MyLab70 and My Lab9, Esaote, Milan). In cases where there was clinical suspicion of GCA [ 16 , 17 ], ultrasound study of temporal and occipital arteries [ 18 ] was performed (sectorial probe 6–18 MHz) (Esaote MyLab70, Esaote, Milan). Following the official guidelines for the diagnosis of ethiology in stroke, according to the previous findings at the discretion of the attending clinician, the etiological study was completed in some cases by EKG telemetry in the stroke unit, ambulatory EKG-Holter-24 h, transthoracic echocardiography or determination of right-to-left cardiac shunt by transcranial ultrasonography.…”

Section: Methodsmentioning

confidence: 99%

Contribution of Orbital Ultrasound to the Diagnosis of Central Retinal Artery Occlusion

Rojas-Bartolomé

Ayo-Martín

García-García

et al. 2022

JCM

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We aimed to evaluate the diagnostic value of orbital ultrasound in the etiologic diagnosis of central retinal artery occlusion (CRAO). For this purpose, patients with CRAO evaluated at our center between 2011 and 2021 were reviewed. Demographic variables, vascular risk factors and ultrasound findings were collected. An orbital duplex was performed in all cases and complemented with other diagnostic explorations. We attended 36 cases of CRAO. In all patients, orbital ultrasound confirmed the diagnosis of CRAO: in 75% emboli material (spot sign) was observed in CRA and in 25% flow alteration in CRA without visible embolus. The positive spot sign (PSS) group differed from patients with negative spot sign (NSS) in terms of etiology: 8 PSS cases (29.6%) had a major cardioembolic cause, 4 (14.8%) a large vessel atheromatous disease, 15 (55.6%) an undetermined cause. Some 21 (77.8%) PSS patients had some minor cardioembolic cause, mainly calcifications of the left valves. In the NSS group, 2 (22%) were diagnosed with giant cell arteritis (GCA). In CRAO, the ultrasound spot sign could be a guide for the detection of embolic sources. Its absence makes it necessary to consider more strongly the possibility of arteritis. Furthermore, our findings suggest a key role of calcium embolism in PSS patients.

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Section: Methodsmentioning

confidence: 99%

Contribution of Orbital Ultrasound to the Diagnosis of Central Retinal Artery Occlusion

Rojas-Bartolomé

Ayo-Martín

García-García

et al. 2022

JCM

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“…A recent clinical update advises aspirin 75 mg daily be considered in all cases. 23 Tumour necrosis factor-α inhibition and Lyme disease Bulteel et al's 24 interesting paper seeks to provide reassurance that in patients on tumour necrosis factor-α (TNF-α) inhibiting drugs who contract Lyme borreliosis it is safe to reintroduce these drugs once the Lyme disease has been treated. This is important because there are an increasing number on immunosuppressant therapy and the incidence of Lyme disease is rising.…”

Section: Delay In Diagnosing and Treating Giant Cell Arteritismentioning

confidence: 99%

If Case Reports be the Food of Knowledge, Write On: Our Cases of the Quarter

Slater

2020

Journal of the Royal College of Physicians of Edinburgh

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The value of publishing case reports has long been debated and the arguments are summarised. Last year, to encourage trainees, the Royal College of Physicians of Edinburgh's Senior Fellows Club inaugurated an annual prize for the best case report or case series published in the Journal of the Royal College of Physicians of Edinburgh by a doctor in training. Some of the highlights of last year's entries are reviewed, commented on and developed. They include cases of myelofibrosis and cherubism due to secondary hyperparathyroidism from renal failure; reversible blindness in diabetic ketoacidosis; the long QT syndrome; ictal asystole; giant cell arteritis; tumour necrosis factor-a inhibition in Lyme borreliosis; and cannabis hyperemesis syndrome.

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“…Giant cell arteritis is one the sight threatening emergency that needs urgent treatment [1]. Headache is the most common symptoms [1]. It usually affects older woman aged above 50 years, but can also affect man [2].…”

Section: Introductionmentioning

confidence: 99%

“…It usually affects older woman aged above 50 years, but can also affect man [2]. Upon a slight suspicion of these conditions, urgent treatment with systemic prednisolone is needed to prevent the irreversible progression of the optic nerve ischaemia [1][2]. This is absolutely critical in order to irreversible blindness.…”

Section: Introductionmentioning

confidence: 99%