巨细胞动脉炎(Horton's disease)的诊断与治疗最新进展。

Q4 Medicine
Edwin Curraj, Camillo Ribi
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引用次数: 0

摘要

巨细胞动脉炎(GCA, Horton病)是一种大动脉的亚急性血管炎。GCA发病年龄在50岁以上,发病频率随年龄增长而增加。诊断的关键因素是临床表现、炎症标志物升高、影像学和组织学。颞动脉活检是确诊GCA的金标准,但正逐渐被多普勒超声和正电子发射断层扫描等非侵入性成像技术所取代。虽然皮质类固醇仍然是治疗的基石,但新的治疗方法正在帮助减少其剂量和使用时间。本文就GCA的诊断和治疗的关键方面,以及最新的建议作一综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Latest advances in diagnosis and therapy of giant cell arteritis (Horton's disease)].

Giant cell arteritis (GCA, Horton's disease) is a subacute vasculitis of large-size arteries. GCA affects individuals above 50 years and its frequency increases with age. The key elements for diagnosis are clinical presentation, elevated inflammatory markers, imaging, and histology. Temporal artery biopsy is the gold standard for confirming GCA, but is gradually being replaced by non-invasive imaging techniques such as Doppler ultrasound and positron emission tomography. While corticosteroids remain the cornerstone of treatment, new therapies are helping to reduce their dosage and duration of use. In this review, the key aspects of diagnosing and treating GCA, based on the latest recommendations are discussed in this article.

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来源期刊
Revue medicale suisse
Revue medicale suisse Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
1210
期刊介绍: Destinée aux professionnels de santé, la plateforme revmed.ch regroupe la version électronique de la Revue Médicale Suisse et les applications de formation et d"aide à la prise de décision eRMS. La eRMS est le fruit d’une large collaboration entre institutions et praticiens de Suisse romande.
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