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Related Concept Videos

Genome-wide Association Studies-GWAS01:11

Genome-wide Association Studies-GWAS

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Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
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An Immunohistopathologic Study to Profile the Folate Receptor Beta Macrophage and Vascular Immune Microenvironment in Giant Cell Arteritis
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New developments in giant cell arteritis.

Larry Frohman1, Aaron B C Wong2, Kaliopy Matheos2

  • 1Department of Ophthalmology, Rutgers-New Jersey Medical School, New Jersey, USA; Department of Neurosciences, Rutgers-New Jersey Medical School, New Jersey, USA.

Survey of Ophthalmology
|January 18, 2016
PubMed
Summary
This summary is machine-generated.

Giant cell arteritis (GCA) diagnosis and treatment are evolving. Temporal artery biopsy remains key, but new imaging and therapies like IL-6 inhibitors show promise for this large vessel vasculitis.

Keywords:
corticosteroidsdiagnosisgiant cell arteritispathogenesistemporal arteritistherapy

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Area of Science:

  • Rheumatology
  • Immunology
  • Vascular Medicine

Background:

  • Giant cell arteritis (GCA) is a serious medium-to-large vessel vasculitis.
  • Recent advancements challenge traditional diagnostic guidelines and understanding of GCA.
  • The American College of Rheumatology criteria for GCA diagnosis face scrutiny.

Purpose of the Study:

  • To review current understanding of GCA pathogenesis, diagnosis, and treatment.
  • To highlight evolving diagnostic approaches and therapeutic strategies for GCA.
  • To discuss the relationship between GCA, Takayasu arteritis, and polymyalgia rheumatica.

Main Methods:

  • Review of recent literature on GCA pathogenesis, diagnosis, and treatment.
  • Analysis of the utility of temporal artery biopsy in current clinical practice.
  • Evaluation of emerging diagnostic modalities like positron emission tomography (PET).

Main Results:

  • Erythrocyte sedimentation rate (ESR) can be affected by medications (statins, NSAIDs) and hematocrit levels.
  • Temporal artery biopsy remains the gold standard for GCA diagnosis, even with shorter lengths or delayed timing post-steroids.
  • PET imaging reveals widespread vascular inflammation in GCA, suggesting a broader disease spectrum.

Conclusions:

  • GCA, Takayasu arteritis, and polymyalgia rheumatica may represent a disease spectrum rather than distinct entities.
  • Interleukin-6 (IL-6) inhibitors show significant promise as a novel therapeutic option for GCA.
  • Combined therapies involving corticosteroids and immunosuppressants are crucial for managing GCA.