Temporal Artery Ultrasound to Diagnose Giant Cell Arteritis: A Practical Guide

Noumegni, Steve Raoul; Hoffmann, Clément; Cornec, Divi; Gestin, Simon; Bressollette, L; Jousse‐Joulin, Sandrine

doi:10.1016/j.ultrasmedbio.2020.10.004

Cited by 11 publications

(6 citation statements)

References 57 publications

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“…After the introduction of TAU and PET, the new criteria have a sensitivity of 87% and a specificity of 95% ( 7 ). A halo sign is defined as a hypo- or iso-echogenic dark aspect of the vessel walls ( 8 ). The TAU in this case showed hypoechogenic uneven thickening of the artery wall with punctate plaques, which did not fit the typical halo sign and failed to distinguish between vasculitis and atherosclerosis ( 9 , 10 ).…”

Section: Discussionmentioning

confidence: 99%

Headache attributed to giant cell arteritis complicated with rheumatic polymyalgia diagnosed with F18-fluorodeoxyglucose positron emission tomography and computed tomography: a case report

Wang,

Liu,

Guo

et al. 2023

Front. Neurol.

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Giant cell arteritis (GCA) is a kind of systemic vasculitis affecting individuals over 50 years old and is often the cause of new-onset headaches in older adults. Patients with GCA sometimes have rheumatic polymyalgia (PMR). The diagnosis of GCA generally depends on clinical manifestation, elevated erythrocyte sedimentation rate (ESR) or C-reactive protein, and positive imaging findings commonly obtained by ultrasound or temporal artery biopsy. In this study, we report a case of an 83-year-old woman with a new-onset headache and an elevated ESR. The result of the temporal artery ultrasound did not distinguish between vasculitis and atherosclerosis. The F18-fluorodeoxyglucose positron emission tomography and computed tomography (18F FDG PET-CT) were performed and suggested large vessel vasculitis with temporal artery involvement. In addition, polyarticular synovitis and bursitis were also revealed. Finally, the diagnosis of secondary headache attributed to CGA complicated with PMR was established. The patient experienced remission of symptoms after glucocorticoid therapy. PET can become a powerful tool for diagnosis and differential diagnosis when the ultrasound result is ambiguous and a biopsy is not obtained.

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Section: Discussionmentioning

confidence: 99%

Headache attributed to giant cell arteritis complicated with rheumatic polymyalgia diagnosed with F18-fluorodeoxyglucose positron emission tomography and computed tomography: a case report

Wang,

Liu,

Guo

et al. 2023

Front. Neurol.

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“…The grayscale image of a normal temporal artery displays a very thin-walled artery and anechoic lumen (Figure 2). The presence of circumferential hypoechoic vessel wall thickening associated with the reduced luminal size suggests the GCA diagnosis [20]. The hypoechoic, homogeneous thickening of the vessel wall (intima-media complex (IMC)) is the "halo sign," the most specific finding in TAUS (Figures 3A, 3B, 4A).…”

Section: Ultrasound Findings In Gcamentioning

confidence: 99%

Temporal Artery Ultrasound for the Diagnosis of Giant Cell Arteritis in the Emergency Department

Hernández¹,

Jalbout²,

Matza³

et al. 2023

Cureus

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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.

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“…-le signe du halo, défini comme un épaississement pariétal iso-ou hypoéchogène circonférentiel et régulier en coupe transversale, formant un halo en doppler couleur ou en mode énergie (20).…”

Section: Echodopplerunclassified

Étude de la valeur pronostique des phénotypes vasculaires au diagnostic de l’artérite à cellules géantes

Froger

Espitia

2022

La Revue de Médecine Interne

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Temporal Artery Ultrasound to Diagnose Giant Cell Arteritis: A Practical Guide

Cited by 11 publications

References 57 publications

Headache attributed to giant cell arteritis complicated with rheumatic polymyalgia diagnosed with F18-fluorodeoxyglucose positron emission tomography and computed tomography: a case report

Headache attributed to giant cell arteritis complicated with rheumatic polymyalgia diagnosed with F18-fluorodeoxyglucose positron emission tomography and computed tomography: a case report

Temporal Artery Ultrasound for the Diagnosis of Giant Cell Arteritis in the Emergency Department

Étude de la valeur pronostique des phénotypes vasculaires au diagnostic de l’artérite à cellules géantes

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