metricas
covid
Buscar en
Archivos de la Sociedad Española de Oftalmología (English Edition)
Toda la web
Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Analysis of factors that determine the diagnostic yield of temporal artery biops...
Journal Information
Vol. 88. Issue 4.
Pages 127-129 (April 2013)
Share
Share
Download PDF
More article options
Visits
1162
Vol. 88. Issue 4.
Pages 127-129 (April 2013)
Original article
Analysis of factors that determine the diagnostic yield of temporal artery biopsy
Factores modificadores de la rentabilidad de la biopsia de arteria temporal
Visits
1162
A.M. Suelvesa,
Corresponding author
ana.suelves@gmail.com

Corresponding author.
, E. España-Gregoria,b, J. Aviñóa, S. Rohrwecka, M. Díaz-Llopisa,c,d
a Servicio de Oftalmología, Hospital Universitario La Fe, Valencia, Spain
b Departamento de Óptica, Universidad de Valencia, Valencia, Spain
c Facultad de Medicina, Universidad de Valencia, Valencia, Spain
d CIBERER, Ciber de enfermedades raras, Valencia, Spain
This item has received
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Tables (4)
Table 1. Baseline characteristics of patients included in the study.
Table 2. Temporal artery biopsy results based on main symptom.
Table 3. Diagnostics in the negative temporal artery biopsy group.
Table 4. Variables predicting positive biopsy.
Show moreShow less
Abstract
Purpose

To analyze the diagnostic yield of temporal artery biopsy in the diagnosis of giant cell arteritis, and to correlate these results with the clinical and laboratory features which indicate it, in an attempt to increase the efficiency of this technique and try to “save biopsies”.

Methods

A retrospective cohort study including suspected giant cell arteritis cases in which a temporal artery biopsy was performed. The data recorded included demographic, clinical and laboratory information.

Results

A total of 38 patients were analyzed. The biopsy was positive in 68.42% of cases. Multivariate analysis revealed visual symptoms and a high C-reactive protein as parameters with a high diagnostic efficiency.

Conclusions

Our study supports the fact that temporal artery biopsy should be undertaken when there is strong clinical suspicion. Visual symptoms and high C-reactive protein are considered as high efficiency indicators to biopsy.

Keywords:
Temporal artery biopsy
Giant cell arteritis
Horton's arteritis
Ischaemic optic neuropathy
Diagnosis
Resumen
Propósito

Analizar la rentabilidad diagnóstica de la biopsia de la arteria temporal (BAT) en la arteritis de células gigantes (ACG) y correlacionar su resultado con hallazgos clínicos y analíticos que establecen la indicación para aumentar la rentabilidad diagnóstica de esta técnica y valorar posibles parámetros «ahorradores de biopsias».

Métodos

Estudio de cohortes retrospectivo de casos con sospecha de ACG en los que se realizaron BAT. Se recogieron datos demográficos, clínicos, analíticos.

Resultados

Se analizaron datos en 38 pacientes. La biopsia fue positiva en el 68,42% de los casos. En un análisis multivariante se determinaron los síntomas visuales específicos y la proteína C reactiva (PCR) como predictores de una BAT positiva con significación estadística.

Conclusiones

Nuestros datos apoyan que el diagnóstico de ACG mediante la BAT debe basarse en una alta sospecha clínica. Los síntomas visuales y PCR elevada destacan en nuestra serie como parámetros con alta rentabilidad diagnóstica.

Palabras clave:
Biopsia de arteria temporal
Arteritis de células gigantes
Arteritis de Horton
Neuritis óptica isquémica
Rentabilidad diagnóstica

Article

These are the options to access the full texts of the publication Archivos de la Sociedad Española de Oftalmología (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Archivos de la Sociedad Española de Oftalmología (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos