Baidu
map

ARD: 超声晕征作为巨细胞动脉炎患者潜在监测工具的前瞻性分析

2021-11-07 MedSci原创 MedSci原创

评估新诊断巨细胞动脉炎(GCA)患者对超声晕圈特征变化的敏感性及其与疾病活动性和糖皮质激素(GC)治疗的相关性。

     目的:颞动脉(TA)和腋动脉(AX)超声显示不可压缩晕征被建议用来确诊疑似巨细胞动脉炎(GCA);然而,它在监测GCA疾病活动方面的价值仍然知之甚少。该研究评估新诊断GCA患者对超声晕圈特征变化的敏感性及其与疾病活动性和糖皮质激素(GC)治疗的相关性

     方法:对在固定时间点接受颞动脉(TA)和腋动脉(AX)连续超声评估的超声确诊GCA 患者进行的前瞻性研究。记录具有晕圈和最大晕圈内中膜厚度(IMT)的节段数。对>80%的患者进行了测量的时间点用于分析。比较了疾病确诊和首次复发时的晕圈特征。

     结果:在354次就诊中对49名患者进行了评估。光晕对变化的敏感性在第1361224周进行评估,显示TA光环特征在所有时间点和基线之间具有显著标准化平均差异,但仅在第6周后才显示AX光环特征具有和基线之间的差异。具有晕圈的TA节段数、总和及最大TA晕圈IMT与下列指标具有显著相关性:红细胞沉降率(0.410.440.48)、C反应蛋白(0.340.390.41)、伯明翰血管炎活动评分(0.290.360.35) GC累积剂量 (-0.34-0.37 -0.32);没有发现AX晕圈特征的显著相关性。晕圈特征出现在94%的首次疾病复发中,但与疾病发作时相比,具有晕圈和晕圈IMT总和的平均节段数较低2.93±1.59 mm vs 4.85±1.51 mmp=0.00122.01±1.13 mm vs 4.49±1.95 mmp=0.0012)。

    结论:超声是一种有用的成像工具,可用于评估巨细胞动脉炎患者的疾病活动度和对治疗的反应。 

出处:

Ponte C, Monti S, Scirè CA, et al. Ultrasound halo sign as a potential monitoring tool for patients with giant cell arteritis: a prospective analysis. Annals of the Rheumatic Diseases 2021;80:1475-1482.

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (3)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=2006542, encodeId=338f2006542e4, content=<a href='/topic/show?id=924a3264381' target=_blank style='color:#2F92EE;'>#前瞻性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32643, encryptionId=924a3264381, topicName=前瞻性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5cb32500112, createdName=1508842480_96220437, createdTime=Sat Jan 29 13:54:01 CST 2022, time=2022-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683225, encodeId=08b6168322584, content=<a href='/topic/show?id=60f03325e28' target=_blank style='color:#2F92EE;'>#动脉炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33257, encryptionId=60f03325e28, topicName=动脉炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d22a27947071, createdName=xsm927, createdTime=Sat Oct 15 18:54:01 CST 2022, time=2022-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1502298, encodeId=1a21150229844, content=<a href='/topic/show?id=021d4821096' target=_blank style='color:#2F92EE;'>#巨细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48210, encryptionId=021d4821096, topicName=巨细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11759518880, createdName=wwzzly, createdTime=Wed Nov 10 03:54:01 CST 2021, time=2021-11-10, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=2006542, encodeId=338f2006542e4, content=<a href='/topic/show?id=924a3264381' target=_blank style='color:#2F92EE;'>#前瞻性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32643, encryptionId=924a3264381, topicName=前瞻性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5cb32500112, createdName=1508842480_96220437, createdTime=Sat Jan 29 13:54:01 CST 2022, time=2022-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683225, encodeId=08b6168322584, content=<a href='/topic/show?id=60f03325e28' target=_blank style='color:#2F92EE;'>#动脉炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33257, encryptionId=60f03325e28, topicName=动脉炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d22a27947071, createdName=xsm927, createdTime=Sat Oct 15 18:54:01 CST 2022, time=2022-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1502298, encodeId=1a21150229844, content=<a href='/topic/show?id=021d4821096' target=_blank style='color:#2F92EE;'>#巨细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48210, encryptionId=021d4821096, topicName=巨细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11759518880, createdName=wwzzly, createdTime=Wed Nov 10 03:54:01 CST 2021, time=2021-11-10, status=1, ipAttribution=)]
    2022-10-15 xsm927
  3. [GetPortalCommentsPageByObjectIdResponse(id=2006542, encodeId=338f2006542e4, content=<a href='/topic/show?id=924a3264381' target=_blank style='color:#2F92EE;'>#前瞻性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32643, encryptionId=924a3264381, topicName=前瞻性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5cb32500112, createdName=1508842480_96220437, createdTime=Sat Jan 29 13:54:01 CST 2022, time=2022-01-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1683225, encodeId=08b6168322584, content=<a href='/topic/show?id=60f03325e28' target=_blank style='color:#2F92EE;'>#动脉炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33257, encryptionId=60f03325e28, topicName=动脉炎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d22a27947071, createdName=xsm927, createdTime=Sat Oct 15 18:54:01 CST 2022, time=2022-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1502298, encodeId=1a21150229844, content=<a href='/topic/show?id=021d4821096' target=_blank style='color:#2F92EE;'>#巨细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48210, encryptionId=021d4821096, topicName=巨细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11759518880, createdName=wwzzly, createdTime=Wed Nov 10 03:54:01 CST 2021, time=2021-11-10, status=1, ipAttribution=)]
    2021-11-10 wwzzly

相关资讯

Radiology:哺乳期女性若发现可触及的乳房肿块该怎么办?

随着时代的快速发展,推迟生育已成为越来越普遍的趋势。2018年,18.3%的新生儿是高龄产妇(美国妇产科医师学会将高龄产妇定义为35岁或35岁以上)所生。

Radiology:定量超声对非酒精性脂肪肝肝脂肪变性的评价

非酒精性脂肪性肝病(NAFLD)影响着约25%的人群,并将很快取代丙型肝炎成为肝移植的首要原因。

Radiology:超声也可以鉴别肺胸膜下良、恶性病变了?

几十年来,US不仅被用来引导经皮肺活检,还为胸膜下肺部病变(SPLs)的鉴别诊断提供了诊断依据。

ERJ:轻度肺动脉高压患者RVSP升高与死亡风险增加有关

肺动脉高压 (PHT) 是一种由于多种致病原因导致肺动脉血压升高的慢性疾病。目前确诊的依据是通过右心导管插入术测量的平均肺动脉压 (mPAP) > 20 mmHg。

美敦力携手智影超声守护终末期肾病患者“生命线”

超声引导PTA手术,解答透析通路难题。

Lancet Rheumatology: 疑似巨细胞动脉炎患者的血管超声诊断准确性(EUREKA):一项前瞻性、多中心、非干预性队列研究

颞动脉活检被认为是诊断巨细胞动脉炎的金标准,尽管大约39%的活检阴性患者随后被诊断为巨细胞动脉炎。该研究旨在评估超声检查对疑似巨细胞动脉炎患者的诊断准确性。

Baidu
map
Baidu
map
Baidu
map