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Rheumatology (Oxford). 2002 Jan;41(1):46-52.

Incidence of temporal arteritis in patients with polymyalgia rheumatica: a prospective study using colour Doppler ultrasonography of the temporal arteries.

Author information

1
Medical Centre for Rheumatology Berlin-Buch, Karower Strasse 11, 13125 Berlin, Germany.

Abstract

OBJECTIVE:

To determine the incidence of temporal arteritis (TA) in patients with polymyalgia rheumatica (PMR) using colour Doppler ultrasonography of the temporal arteries.

METHODS:

Ultrasonography was performed in all 127 consecutive patients with newly diagnosed, active PMR seen between 1994 and 2000 and in 127 age- and sex-matched controls.

RESULTS:

Of 102 patients with "pure" PMR, 8% had ultrasonographic findings arousing suspicion of concomitant active TA (specific halo sign and/or positive histology in 7%; histologically proven TA in 4%). Twenty-five patients had clinical signs of both PMR and TA. Histology and sonography were negative in three of these patients. Of the controls, none had a halo sign and four had stenoses.

CONCLUSION:

Ultrasonography of the temporal arteries is a new, non-invasive method of diagnosing concomitant TA in patients with PMR.

PMID:
11792879
DOI:
10.1093/rheumatology/41.1.46
[Indexed for MEDLINE]

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