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Year 2019, Volume: 5 Issue: 3, 263 - 272, 01.09.2019

Abstract

References

  • REFERENCES 1. Weyand CM, Goronzy JJ. Giant-cell arteritis and polymyalgia rheumatica. Ann Intern Med . 2003;139:505-16 2. Taylor-Gjevre R, Vo M, Shukla D, Resch L. Temporal artery biopsy for giant cell arteritis. J Rheum. 2005; 32:1279-82 3. Salvarani C, Crowson CS, O’Fallon WM, Hunder GG, Gabriel SE. Reappraisal of the epidemiology of giant cell arteritis in Olmsted Country,Minnesota,over a fifty-year period. Arthritis Rheum.2004;51:264-8 4. Schmidt J, Warrington KJ. Polymyalgia rheumatica and giant cell arteritis in older patients: diagnosis and pharmacological management. Drugs Aging. 2011;28:651-66 5. Hellmann DB. Temporal arteritis: a cough, toothache, and tongue infarction. JAMA. 2002 June 12;287(22):2996-3000 6. Dasgupta B. Concise guidance: diagnosis and management of giant cell arteritis. Clin Med. 2010 Aug;10(4):381-6 7. Mahr A, Saba M, Kambouchner M. Temporal artery biopsy for diagnosis giant cell arteritis: the lpnger, the beter? Ann Rheum Dis. 2006;65:826-8 8. Smetana GW, Shmerling RH. Does this patient have temporal arteritis? JAMA. 2002;287:92-101 9. Brigden M. The erythrocyte sedimentation rate: stil a helpful test when used judiciously. Postgrad Med. 1998;103(5):257-262,272-274 10. Younge BR, Cook Jr BE, Bartley GB, Hodge GG. Initation of glucocorticoid therapy: before or after temporal artery biopsy? Mayo Clin Proc. 2004;79:483-491.
  • 11. Pless M, Rizzo JF, Lamkin JC, Lessell S. Concordance of bilateral temporal artery biopsy in giant cell arteritis. J neuroophthalmol. 2000;20:216-8 12. Romera-Villegas A, Vila-Coll R, Poca-Dias V, Cairols- Castellote MA. The role of color duplex sonography in the diagnosis of giant cell arteritis. J Ultrasound Med. 2004 Nov;23(11):1493-8 13. Guffey JJ, Grossniklaus HE, Margo CE, Foulis P. Frequency of unintended vein and peripheral nevre biopsy with temporal artery biopsy. Arch Ophthalmol. 2009;127:703 14. Schmidt WA. Doppler ultrasonography in the diagnosis of giant cell arteritis. Clin Exp Rheumatol. 2000;18:40-42 15. Salvarani C, Silingardi M, Ghirarduzzi A, Lo Scocco G, Macchioni P, Bajocchi G. Is duplex ultrasonography useful fort he diagnosis of giant cell arteritis? Ann Intern Med. 2002;137:232-8 16. Butteriss DFA, Clarke L, Dayan M, Birchall D. Use of colour duplex ultrasound to diagnose giant cell arteritis in a case of visual loss of uncertain aetiology. Bt F of Radiol. 2004;77:607-9 17. Bley TA, Wieben O, Uhl M, Thiel J, Schmidt D, Langer M. High-resolution MRI in giant cell arteritis:imaging of the wall of the superficial temporal artery. AJR Am J Roentgenol. 2005;184:283-7 18. Bley TA, Reinhard M, Hauenstein C, Markl M, Warnatz K, Hetzel A,et al. Comparison of duplex sonography and high-resolution magnetic resonance imaging in the diagnosis of giant cell (temporal) arteritis. Arthritis Rheum. 2008;58(8):2574-8.

Temporal Artery Biopsy: Review of 36 Patients

Year 2019, Volume: 5 Issue: 3, 263 - 272, 01.09.2019

Abstract

ABSTRACT



Aim: Temporal
arteritis is a systemic vasculitis that affects large and medium sized vessels.
Vasculitis signs have to be shown for accurate diagnosis; hence temporal artery
biopsy is still the gold standard for diagnosis. In this study, we evaluated
the patients in whom temporal artery biopsies were performed.



Material Methods:
In between September 2004 and June 2014, we peformed temporal artery biopsy in
36 patients, who had temporal arteritis complaints. Patients were
retrospectively evaluated for their clinical properties, performed procedures
and their results.



Results: Thirty-six
patients were enrolled into study, who were referred to our clinic for temporal
artery biopsy. Of these, 11 (30.5%) were male, 25 were female (69.5%) and mean
age was 61.1 (range between 56-81) years. Mean erythrocyte sedimentation rate
was 56.3 mm/hr (range between 51-130). In our study, 7 (19.4%) patients had
concordant findings which were representative of temporal arteritis. As a
complication, only one patient had ecchymosis on the right orbital region that
lasted in one week.



Conclusion:
Different results are published in the literature for positivity rates of
temporal artery biopsies. A number of different factors such as atypical
symptoms, skip lesions, suboptimal sampling and ongoing steroid treatment
affect the results. Temporal artery biopsy is an easily-performed and reliable
diagnostic method if only made after accurate clinical evaluation and if
adequate sampling was made in early period.

References

  • REFERENCES 1. Weyand CM, Goronzy JJ. Giant-cell arteritis and polymyalgia rheumatica. Ann Intern Med . 2003;139:505-16 2. Taylor-Gjevre R, Vo M, Shukla D, Resch L. Temporal artery biopsy for giant cell arteritis. J Rheum. 2005; 32:1279-82 3. Salvarani C, Crowson CS, O’Fallon WM, Hunder GG, Gabriel SE. Reappraisal of the epidemiology of giant cell arteritis in Olmsted Country,Minnesota,over a fifty-year period. Arthritis Rheum.2004;51:264-8 4. Schmidt J, Warrington KJ. Polymyalgia rheumatica and giant cell arteritis in older patients: diagnosis and pharmacological management. Drugs Aging. 2011;28:651-66 5. Hellmann DB. Temporal arteritis: a cough, toothache, and tongue infarction. JAMA. 2002 June 12;287(22):2996-3000 6. Dasgupta B. Concise guidance: diagnosis and management of giant cell arteritis. Clin Med. 2010 Aug;10(4):381-6 7. Mahr A, Saba M, Kambouchner M. Temporal artery biopsy for diagnosis giant cell arteritis: the lpnger, the beter? Ann Rheum Dis. 2006;65:826-8 8. Smetana GW, Shmerling RH. Does this patient have temporal arteritis? JAMA. 2002;287:92-101 9. Brigden M. The erythrocyte sedimentation rate: stil a helpful test when used judiciously. Postgrad Med. 1998;103(5):257-262,272-274 10. Younge BR, Cook Jr BE, Bartley GB, Hodge GG. Initation of glucocorticoid therapy: before or after temporal artery biopsy? Mayo Clin Proc. 2004;79:483-491.
  • 11. Pless M, Rizzo JF, Lamkin JC, Lessell S. Concordance of bilateral temporal artery biopsy in giant cell arteritis. J neuroophthalmol. 2000;20:216-8 12. Romera-Villegas A, Vila-Coll R, Poca-Dias V, Cairols- Castellote MA. The role of color duplex sonography in the diagnosis of giant cell arteritis. J Ultrasound Med. 2004 Nov;23(11):1493-8 13. Guffey JJ, Grossniklaus HE, Margo CE, Foulis P. Frequency of unintended vein and peripheral nevre biopsy with temporal artery biopsy. Arch Ophthalmol. 2009;127:703 14. Schmidt WA. Doppler ultrasonography in the diagnosis of giant cell arteritis. Clin Exp Rheumatol. 2000;18:40-42 15. Salvarani C, Silingardi M, Ghirarduzzi A, Lo Scocco G, Macchioni P, Bajocchi G. Is duplex ultrasonography useful fort he diagnosis of giant cell arteritis? Ann Intern Med. 2002;137:232-8 16. Butteriss DFA, Clarke L, Dayan M, Birchall D. Use of colour duplex ultrasound to diagnose giant cell arteritis in a case of visual loss of uncertain aetiology. Bt F of Radiol. 2004;77:607-9 17. Bley TA, Wieben O, Uhl M, Thiel J, Schmidt D, Langer M. High-resolution MRI in giant cell arteritis:imaging of the wall of the superficial temporal artery. AJR Am J Roentgenol. 2005;184:283-7 18. Bley TA, Reinhard M, Hauenstein C, Markl M, Warnatz K, Hetzel A,et al. Comparison of duplex sonography and high-resolution magnetic resonance imaging in the diagnosis of giant cell (temporal) arteritis. Arthritis Rheum. 2008;58(8):2574-8.
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Details

Primary Language English
Journal Section Articles
Authors

Özgür Altınbaş

Publication Date September 1, 2019
Submission Date July 4, 2019
Acceptance Date August 6, 2019
Published in Issue Year 2019 Volume: 5 Issue: 3

Cite

APA Altınbaş, Ö. (2019). Temporal Artery Biopsy: Review of 36 Patients. Journal of Human Rhythm, 5(3), 263-272.
AMA Altınbaş Ö. Temporal Artery Biopsy: Review of 36 Patients. Journal of Human Rhythm. September 2019;5(3):263-272.
Chicago Altınbaş, Özgür. “Temporal Artery Biopsy: Review of 36 Patients”. Journal of Human Rhythm 5, no. 3 (September 2019): 263-72.
EndNote Altınbaş Ö (September 1, 2019) Temporal Artery Biopsy: Review of 36 Patients. Journal of Human Rhythm 5 3 263–272.
IEEE Ö. Altınbaş, “Temporal Artery Biopsy: Review of 36 Patients”, Journal of Human Rhythm, vol. 5, no. 3, pp. 263–272, 2019.
ISNAD Altınbaş, Özgür. “Temporal Artery Biopsy: Review of 36 Patients”. Journal of Human Rhythm 5/3 (September 2019), 263-272.
JAMA Altınbaş Ö. Temporal Artery Biopsy: Review of 36 Patients. Journal of Human Rhythm. 2019;5:263–272.
MLA Altınbaş, Özgür. “Temporal Artery Biopsy: Review of 36 Patients”. Journal of Human Rhythm, vol. 5, no. 3, 2019, pp. 263-72.
Vancouver Altınbaş Ö. Temporal Artery Biopsy: Review of 36 Patients. Journal of Human Rhythm. 2019;5(3):263-72.