The role of point of care ultrasonografphy (POCUS) in the diagnosis of autoimmune disease
DOI:
https://doi.org/10.32818/reccmi.a7n3a9Keywords:
vasculitis, Horton's disease, headache, ultrasoundAbstract
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
Metrics
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
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Julián Tejero-Cobos, Sergio Tizón-González, Javier Medina-Almazán, Cristian Hernández-Pérez
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Permite compartir, copiar y redistribuir el material en cualquier medio o formato, bajo los siguientes términos:
Reconocimiento: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.
No comercial: no puede utilizar el material con fines comerciales.
No Derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.
Sin restricciones adicionales: no puede aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.