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Aspectos Clínicos da Arterite Temporal The Horton’s disease, also known as giant cells arteritis (GCA), temporal arteritis or cranial arteritis (1) (2), is a chronic . arteritis, and temporal arteritis) is the most common of the systemic vasculitides . Groupe de Recherche sur l’Artérite à Cellules Géantes. RESUMO – É raro doença encéfalo-vascular como primeira manifestação de arterite temporal. Relatamos dois casos, nos quais o diagnóstico emergiu da.

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Takayasu’s arteritis Giant-cell arteritis. A dark halo of variable size 0.

What Is Giant Cell Arteritis?

From Wikipedia, the free encyclopedia. We conclude that CDS, an inexpensive, non-invasive, and easy-to-perform method, allows a directional biopsy that has an increased probability to confirm the clinical diagnosis.

Views Read Edit View history. In parallel with the diagnostic work-up required for these patients, a baseline CDS of the temporal arteries was performed prior to the initiation of treatment. It’s known it’s a reaction depending on T-cells activated by antigen and that the giant cells hurt the inner coat and also damage the vessels elasticity, since they damage the vessels whose wall contains elastic tissue, and suggest that the elastin becomes antigenic in time and starts an immunomediated inflammatory reaction; however, no anti-elastin antibodies were found 8.

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The visual loss is an hemporal finding. Is duplex ultrasonography useful for the diagnosis of giant-cell arteritis? Steroids and Temporal Arteritis”. In agreement with previous reports [ 927 ], halos disappeared within a mean of 22 days after the initiation of corticosteroid treatment in our patients.

For purposes of classification, the American College tem;oral Rheumatology ACR proposes that a patient with vasculitis is said to have GCA if three of the following five criteria are present: Giant-cell arteritis may present with atypical or overlapping features.


D ICD – Vasculitis of the internal carotid artery in Wegener’s granulomatosis: The American College of Rheumatology criteria for the classification of giant cell arteritis.

What Is Giant Cell Arteritis? – American Academy of Ophthalmology

Some have been suggesting artedite use of aspirin or anticoagulants in the treatment of the temporal arteritis to prevent ischemic lesions, due to reports of thrombocytosis in some patients Check for errors and try again.

Studies in control subjects and follow-up examinations were performed in an unblinded manner. Authors’ contributions M Karahaliou participated in the design of the study, performed CDS, and helped to draft the manuscript. Later on, the term “Horton’s Disease” ended up being temporak. Among the patients with suspected GCA, one had occlusion of the frontal ramus.

Giant-cell arteritis – Wikipedia

Initiation of glucocorticoid therapy: Halos’ sagittal diameter ranged from 0. Retrieved 23 September Eur Neurol ; Notably, halo signs disappeared in all 18 patients who were diagnosed with GCA within a mean of 22 days after initiation of corticosteroid treatment. The reactive protein C is also elevated in the GCA.

Headachepain over the temples, flu-like symptomsdouble visiondifficulty opening the mouth [3]. PS conceived of the study, participated in its design and coordination and the clinical follow-up, and drafted the manuscript. In the second case, the final diagnosis was tuberculosis infection; biopsy results were negative for GCA tempodal both patients. Measurements of the sagittal diameter of the systolic lumen, wall raterite, and peak systolic velocities were performed at the following three anatomical sites: Such other manifestations are not as frequent as headache, but in some cases it may be absent, and there’s the presence of other symptoms Arteritis of Hidden Giant Cells.

Special attention and care should be given to their use, because they may cause or aggravate osteoporosis, psychosis and digestive hemorrhage Longitudinal view of the perfused lumen in colour duplex sonography; the bright area around the lumen represents the arterial wall plus the temporal fascia right panel.


Hypoechoic area around the temporal artery trunk in longitudinal upper panel and transverse lower panel views. Finally, our results may allow us to partially modify an established algorithm for the approach to diagnosing GCA, introduced by Hellmann and Hunder [ 3 ].

To review the literature about the several aspects of the Horton’s disease, and confirm the otorhinolaryngologic clinical manifestations.

Table 3 Sensitivity and specificity of baseline clinicolaboratory findings for the diagnosis of GCA in 55 patients studied prospectively. Revista da Sociedade Portuguesa de Medicina Interna.

Giant-cell arteritis

Discussion A careful physical examination, including palpation of the temporal arteries, accompanied by an accurate medical history and laboratory data are all imperative for the diagnosis of GCA [ 1216 ]. Wegener’s granulomatosis associated with vasculitis of the temporal artery: The patient have had right hemiparesis, artrrite and a left visual disturbance in the first episode; now she had severe bilateral visual disturbance. If unilateral halos are present, a decision of directional biopsy is justified.

Materials and methods Protocol Sixty consecutive patients aged 50 years or above who presented at the outpatient Rheumatology or Internal Medicine Clinics at Laikon Hospital Athens, Greece between and with clinical suspicion of GCA were agterite studied. The peak systolic velocity left panel becomes at least double compared with the rate recorded in the area proximal to the stenosis right panel.

Such headache is from a short time ago, about 15 days to 1 month and is different from other headaches the patient could have had before.