منابع مشابه
The ESR in the diagnosis and management of the polymyalgia rheumatica/giant cell arteritis syndrome.
A review of 80 patients with the polymyalgia rheumatica/giant cell arteritis (PMR/GCA) syndrome has revealed that the erythrocyte sedimentation rate (ESR) is normal in 22.5% of cases at presentation. Too much reliance on the ESR as a screening test led to delay in diagnosis in 10 patients. Serious complications occurred in 4 patients with a normal or minimally raised ESR. Analysis of follow-up ...
متن کاملMight tocilizumab be useful in patients with giant-cell arteritis and normal ESR?
We read with great interest the original article “Rapid induction of remission in large vessel vasculitis by IL-6 blockade” by Dr. Seitz et al. [1]. One of us (F.J.F-F) is very interested in the treatment of giant-cell arteritis because his mother was diagnosed with giant-cell arteritis 5 months previously. She had polymyalgia rheumatic for several months, and headache was the main manifestatio...
متن کاملGiant cell arteritis
Giant cell arteritis (GCA), temporal arteritis or Horton’s arteritis, is a systemic vasculitis which involves large and medium sized vessels, especially the extracranial branches of the carotid arteries, in persons usually older than 50 years. Permanent visual loss, ischaemic strokes, and thoracic and abdominal aortic aneurysms are feared complications of GCA. The treatment consists of high dos...
متن کاملGiant cell arteritis.
Permanent, severe loss of vision is a feared complication; however, it is not the sole possible devastating outcome of giant cell arteritis. Myocardial infarction, ischemic stroke and limb gangrene may also occur. Thor acic aortic aneurysms are seen over 17 times more often in patients with giant cell arteritis than in age-matched controls. The optimal work-up includes erythrocyte sedimentation...
متن کاملGiant cell arteritis.
Giant cell arteritis (GCA) is the most common vasculitis of the elderly. The diagnosis can be challenging at times because of the limitation of the American Rheumatology Association (ARA) classification criteria and the significant proportion of biopsy-negative patients with GCA. We discuss the role of advanced imaging techniques, including positron emission tomography (PET) scanning, in establ...
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ژورنال
عنوان ژورنال: Journal of the Royal College of Physicians of Edinburgh
سال: 2018
ISSN: 1478-2715,2042-8189
DOI: 10.4997/jrcpe.2017.318