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DOI: 10.1055/a-1286-6663
Update Großgefäßvaskulitis 2021
Large vessel vasculitis: update 2021Was ist neu?
Klinischer Zugang Die Bestimmung der Prätestwahrscheinlichkeit auf Basis standardisierter Scoring-Systeme kann die Testgüte bildgebender Verfahren in der Diagnostik der Riesenzellarteriitis erhöhen.
Bildgebende Diagnostik Die hochauflösende Sonografie der Gefäßwand ist das Erstlinienverfahren in der Riesenzellarteriitis-Diagnostik, falsch positive Befunde können jedoch bei kardiovaskulärem Risikoprofil, insbesondere bei Männern jenseits des 70. Lebensjahres, vorkommen.
Therapiekontrolle In der Therapiekontrolle ist Bildgebung unverzichtbar. Die PET-CT ist hier am besten untersucht, jedoch verbleiben Unklarheiten bezüglich der Befundinterpretation. Eine wertvolle alternative bzw. ergänzende Methode stellt die Kontrastmittelsonografie dar.
Abstract
In recent years, clinically significant advances have been made in the management of giant cell arteritis and Takayasu arteritis. This concise review article highlights important aspects of the diagnostic workup and imaging-based treatment surveillance of the large vessel vasculitides.
Schlüsselwörter
Großgefäßvaskulitis - Riesenzellarteriitis - Takayasu-Arteriitis - Klinische Wahrscheinlichkeit - BildgebungKey words
large vessel vasculitis - giant cell arteritis - Takayasu arteritis - clinical probability - imagingPublication History
Article published online:
26 November 2021
© 2021. Thieme. All rights reserved.
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