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Revista Colombiana de Reumatología
Print version ISSN 0121-8123
Abstract
URREGO-CALLEJAS, Tomás et al. Temporal artery Doppler ultrasound in patients with giant cell arteritis: State of the art and systematic review of the literature. Rev.Colomb.Reumatol. [online]. 2021, vol.28, n.3, pp.203-212. Epub Jan 19, 2022. ISSN 0121-8123. https://doi.org/10.1016/j.rcreu.2020.08.003.
Giant cell arteritis is a vasculitis that predominantly affects large calibre vessels, and usually appears in people over 50 years-old. Its clinical presentation includes headache, hearing impairment, or polymyalgia rheumatica-like symptoms. In its most severe form, it can cause uni- or bilateral vision loss secondary to arteritic ischaemic optic neuropathy. Currently, the gold standard for its diagnosis is the temporal artery biopsy, a procedure that is not harmless and may have complications such as infection, nerve injury, bleeding, among others. Among non-invasive diagnostic methods, the ultrasound and temporal artery Doppler have gained a predominant role in the diagnosis of giant cell arteritis, as it is a benign test with no adverse effects. Through strategies such as «fast-track» clinics, supported by this diagnostic method, a reduction has been achieved in ischaemic complications of the disease.
Keywords : Ultrasound; Doppler; Vasculitis; Giant cell arteritis.