Temporal headache and jaw claudication may be the key for the diagnosis of giant cell arteritis
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Temporal headache and jaw claudication may be the key for the diagnosis of giant cell arteritis

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Temporal headache and jaw claudication may be the key for the diagnosis of giant cell arteritis

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dc.contributor.author Peral Cagigal, B. es
dc.contributor.author Pérez Villar, Álvaro es
dc.contributor.author Redondo González, Luis Miguel es
dc.contributor.author García-Sierra, Claudia es
dc.contributor.author Morante Silva, Marina es
dc.contributor.author Madrigal Rubiales, Beatriz es
dc.contributor.author Verrier Hernández, Alberto es
dc.date.accessioned 2018-05-28T10:45:23Z
dc.date.available 2018-05-28T10:45:23Z
dc.date.issued 2018 es
dc.identifier.uri http://hdl.handle.net/10550/66437
dc.description.abstract Temporal artery biopsy (TAB) is a surgical procedure with a low positive yield. The purpose of this study is to determine which variables are the most important in the giant cell arteritis (GCA) diagnosis. The objective of this evaluation is to improve the percentage of positive temporal artery biopsy and if possible, avoid the biopsy in some cases. A retrospective clinical study consisted of 90 patients who had undergone TAB at the Río Hortega Hospital (Spain) from January 2009 to December 2016. Clinical findings, erythrocyte sedimentation rates (ESR) and other laboratory parameters, American College of Rheumatology (ACR) criteria for GCA score and biopsy results were recorded. Nineteen (21.1%) biopsies were positive for GCA. The mean age in positive TAB was 78.6 years old (SD 7.93), and 73.7% were female. Presence of temporal headache (p = 0.003), jaw claudication (p = 0.001), abnormal artery exploration (p = 0.023), elevated erythrocyte sedimentation rate (p = 0.035), CRP (p = 0.018) and platelets (p = 0.042), were significantly associated with GCA. Multivariate logistic regression revealed that the best predictors for the diagnosis of GCA are headache and jaw claudication, adjusted by sex, age, and temporal exploration. TAB has benefit only for patients who score a 2 or 3 on the ACR criteria for GCA without biopsy. These findings highlight the need for a better diagnostic strategy for patients with suspected temporal arteritis. es
dc.source Peral Cagigal, B. ; Pérez Villar, Álvaro ; Redondo González, Luis Miguel ; García-Sierra, Claudia ; Morante Silva, Marina ; Madrigal Rubiales, Beatriz ; Verrier Hernández, Alberto. Temporal headache and jaw claudication may be the key for the diagnosis of giant cell arteritis. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 23 3 2018: 6- es
dc.title Temporal headache and jaw claudication may be the key for the diagnosis of giant cell arteritis es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.22298 es

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