头痛是巨细胞动脉炎最常见的表现吗? :一个系统性审查与元分析
Aleksander Osiowski1,2, Maksymilian Osiowski1,2, Kacper Stolarz1,2
1Faculty of Medicine, Jagiellonian University Medical College, sw. Anny 12, Krakow, 31-008, Poland.
Rheumatology international
|February 11, 2025
概括
巨细胞动脉炎 (GCA) 最常见的表现是新发作的头痛. 头痛或多肌痛风湿症 (PMR) 症状降低了正确时动脉活检 (TAB) 的可能性,这表明TAB可能并不总是需要用于GCA诊断.
科学领域:
- 类风湿病学 类风湿病学
- 内部医学 内部医学
- 临床流行病学临床流行病学
背景情况:
- 巨细胞动脉炎 (GCA) 是老年人可预防失明的主要原因.
- 准确及时诊断GCA对于启动治疗和预防并发症至关重要.
- 动脉活检 (TAB) 在GCA诊断中的作用和诊断产量需要持续评估.
结论:
- 像头痛这样的GCA症状的高患病率,加上在这种情况下阳性TAB的可能性降低,表明当临床怀疑很高时,TAB可能对诊断不至关重要.
- 这一发现可以完善GCA的诊断算法,可能减少某些患者群体对侵入性手术的需求.
- 进一步的研究可以探索GCA的替代性非侵入性诊断标记.
相关概念视频
Arteries of the Head and Neck
1.0K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
1.0K
The Arch of Aorta
535
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
535
Gastroesophageal Reflux Disease II: Clinical Features and Management
47
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
47
Veins of Head and Neck
1.3K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
1.3K
Myasthenia Gravis: Overview and Treatment
1.1K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.1K
Glaucoma: Overview
496
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
496


