The role of point of care ultrasonografphy (POCUS) in the diagnosis of autoimmune disease

Authors

  • Julián Tejero-Cobos Internal Medicine Department, Hospital Universitario de Igualada, Igualada (Barcelona), Spain
  • Sergio Tizón-González Internal Medicine Department, Hospital Universitario de Igualada, Igualada (Barcelona), Spain
  • Javier Medina-Almazán Internal Medicine Department, Hospital Universitario de Igualada, Igualada (Barcelona), Spain
  • Cristian Hernández-Pérez Internal Medicine Department, Hospital Universitario de Igualada, Igualada (Barcelona), Spain

DOI:

https://doi.org/10.32818/reccmi.a7n3a9

Keywords:

vasculitis, Horton's disease, headache, ultrasound

Abstract

Temporal arteritis or Horton's disease is the most frequent vasculitis in adults with severe complications, both ophthalmological and systemic. Although a pathological temporal artery biopsy offers a definitive diagnosis, Doppler ultrasound of the temporal arteries can contribute to the diagnosis, the most characteristic ultrasound finding being the presence of a hypoechoic area around the vessel known as the “halo sign”. Next, we describe the case of a patient with suggestive symptoms in whom the diagnosis could be reached thanks to point of care ultrasonography, without the need for a biopsy.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Esteban MJ, Font C, Hernández-Rodríguez J, Valls-Solé J, Sanmartí R, Cardellach F. Small-vessel vasculitis surrounding a spared temporal artery: clinical and pathological findings in a series of twenty-eight patients. Arthritis Rheum. 2001; 44(6): 1387-95. doi: https://doi.org/10.1002/1529-0131(200106)44:6<1387::AID-ART232>3.0.CO;2-B DOI: https://doi.org/10.1002/1529-0131(200106)44:6<1387::AID-ART232>3.0.CO;2-B

Salvarani C, Cantini F, Hunder GG. Polymyalgia rheumatica and giant-cell arteritis. Lancet 2008; 372(9634): 234-45. doi: https://doi.org/10.1016/S0140-6736(08)61077-6 DOI: https://doi.org/10.1016/S0140-6736(08)61077-6

Slart RHJA; Writing group; Reviewer group; Members of EANM Cardiovascular; Members of EANM Infection & Inflammation; Members of Committees, SNMMI Cardiovascular; Members of Council, PET Interest Group; Members of ASNC; EANM Committee Coordinator. FDG-PET/CT(A) imaging in large vessel vasculitis and polymyalgia rheumatica: joint procedural recommendation of the EANM, SNMMI, and the PET Interest Group (PIG), and endorsed by the ASNC. Eur J Nucl Med Mol Imaging. 2018; 45(7): 1250-1269. doi: https://doi.org/10.1007/s00259-018-3973-8. DOI: https://doi.org/10.1007/s00259-018-3973-8

Dejaco C, Ramiro S, Duftner C, Besson FL, Bley TA, Blockmans D et al. EULAR recommendations for the use of imaging in large vessel vasculitis in clinical practice. Ann Rheum Dis. 2018; 77(5): 636-643. doi: https://doi.org/10.1136/annrheumdis-2017-212649 DOI: https://doi.org/10.1136/annrheumdis-2017-212649

Prieto-González S, Espígol-Frigolé G, García-Martínez A, Alba MA, Tavera-Bahillo I, Hernández-Rodríguez J et al. The Expanding Role of Imaging in Systemic Vasculitis. Rheum Dis Clin North Am. 2016; 42(4): 733-751. doi: https://doi.org/10.1016/j.rdc.2016.07.009 DOI: https://doi.org/10.1016/j.rdc.2016.07.009

Published

2022-12-28

How to Cite

1.
Tejero-Cobos J, Tizón-González S, Medina-Almazán J, Hernández-Pérez C. The role of point of care ultrasonografphy (POCUS) in the diagnosis of autoimmune disease. Rev Esp Casos Clin Med Intern [Internet]. 2022 Dec. 28 [cited 2024 Dec. 4];7(3):29-31. Available from: https://www.reccmi.com/RECCMI/article/view/798