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所有患有多发性肌痛性风湿症的患者都应该进行血管超声波评估吗?
Sharon Cowley1,2, Patricia Harkins2,3, Colm Kirby4
1Department of Rheumatology, Tallaght University Hospital, Dublin, Ireland sharoncowley111@gmail.com.
Annals of the rheumatic diseases
|March 29, 2024
概括
巨细胞动脉炎 (GCA) 和多肌痛性类风湿 (PMR) 是相关的疾病. 超声波查可能有助于识别PMR患者的亚临床GCA,可能表明更具侵略性的疾病.
科学领域:
- 类风湿病学 类风湿病学
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 巨细胞动脉炎 (GCA) 和多肌痛性类风湿 (PMR) 是密切相关的炎症性疾病.
- 在PMR患者中,亚临床GCA越来越被认可,可能代表更具侵略性的表型.
- 目前仅依赖临床和实验室参数的诊断方法不足以确定亚临床GCA.
研究的目的:
- 探索超声波 (US) 作为PMR患者GCA查工具的实用性.
- 评估US在识别亚临床GCA方面的潜力,这可能会影响疾病管理.
主要方法:
- 关于GCA和PMR的当前文献和临床实践指南的审查.
- 讨论非侵入性血管超声波 (US) 作为一线调查的作用.
- 考虑US作为一种床边工具,用于查PMR患者.
主要成果:
- 超声波 (美国) 是一种非侵入性,廉价和广泛可用的GCA查工具.
- 美国是EULAR推的,作为疑似GCA的第一线调查.
- 现有证据表明,US可以帮助识别PMR患者的血管参与.
结论:
- 血管超声波是PMR患者查GCA的一个有价值的工具.
- 需要进行进一步的前性研究,以确定在所有PMR患者中进行美国例行查的最终建议.
- 风湿病学家可能会越来越多地利用血管US来识别PMR患者的亚临床GCA.
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