000171276 001__ 171276
000171276 005__ 20260515163946.0
000171276 0247_ $$2doi$$a10.1016/j.ajo.2012.03.045
000171276 0248_ $$2sideral$$a149304
000171276 037__ $$aART-2012-149304
000171276 041__ $$aeng
000171276 100__ $$aMurchison, Ann P.
000171276 245__ $$aValidity of the American College of Rheumatology Criteria for the Diagnosis of Giant Cell Arteritis
000171276 260__ $$c2012
000171276 5203_ $$aPurpose: To assess the clinical utility of the American College of Rheumatology criteria for the diagnosis of giant cell arteritis (GCA) in patients with positive and negative temporal artery biopsies.
Design: Retrospective case series of all patients undergoing temporal artery biopsy.
Methods: Retrospective chart review of all patients seen in the Neuro-ophthalmology Service of the Wills Eye Institute undergoing biopsy. One hundred twelve patients were identified between October 2001 and May 2006. Charts were reviewed for American College of Rheumatology criteria, biopsy results, and progression of visual loss after diagnosis.
Results: Nine of 35 patients (25.7%) with positive biopsies would not have been diagnosed with GCA using American College of Rheumatology criteria alone. An additional 16 patients (45.7%) met only 2 criteria and required the positive biopsy to establish the American College of Rheumatology diagnosis of GCA. Eleven of 39 patients (28.2%) with negative biopsies met the criteria and would have been diagnosed with GCA. Diagnostic agreement between the American College of Rheumatology criteria without biopsy results and biopsy results alone was 51.4%; with the addition of biopsy results to the criteria, this increased to 73.0%.
Conclusions: The current American College of Rheumatology criteria should not be used to diagnose GCA and all patients suspected of having GCA should undergo a temporal artery biopsy.
000171276 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000171276 590__ $$a3.631$$b2012
000171276 591__ $$aOPHTHALMOLOGY$$b4 / 59 = 0.068$$c2012$$dQ1$$eT1
000171276 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000171276 700__ $$aGilbert, Molly E.
000171276 700__ $$aBilyk, Jurij R.
000171276 700__ $$aEagle, Ralph C.
000171276 700__ $$0(orcid)0000-0002-1777-0349$$aPueyo, Victoria$$uUniversidad de Zaragoza
000171276 700__ $$aSergott, Robert C.
000171276 700__ $$aSavino, Peter J.
000171276 7102_ $$11004$$2646$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Oftalmología
000171276 773__ $$g154, 4 (2012), 722-729$$pAm. j. ophthalmol.$$tAMERICAN JOURNAL OF OPHTHALMOLOGY$$x0002-9394
000171276 8564_ $$s182779$$uhttps://zaguan.unizar.es/record/171276/files/texto_completo.pdf$$yVersión publicada
000171276 8564_ $$s3142892$$uhttps://zaguan.unizar.es/record/171276/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000171276 909CO $$ooai:zaguan.unizar.es:171276$$particulos$$pdriver
000171276 951__ $$a2026-05-15-14:56:31
000171276 980__ $$aARTICLE