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The Ultimate Diagnoses of Patients Undergoing Temporal Artery Biopsies

The Ultimate Diagnoses of Patients Undergoing Temporal Artery Biopsies Abstract • Patients with signs and symptoms of giant cell arteritis may have normal temporal artery biopsy specimens. To study the relationships between signs and symptoms of this disease and the ultimate clinical diagnosis, we reviewed 51 patients who had undergone temporal artery biopsy. The mean age of the patients with abnormal biopsy specimens was higher than that of patients with normal biopsy specimens. We found headache, fever, and jaw claudication were useful symptoms in predicting abnormal biopsy specimens. The ultimate diagnoses of patients with normal biopsy specimens and no response to treatment showed high incidence of malignant neoplasms and diabetes mellitus. References 1. Hutchinson J: Diseases of the arteries: On a peculiar form of thrombotic arteritis of the aged which is sometimes productive of gangrene . Arch Surg 1890;1:323-329. 2. Horton BT, Magath TB, Brown GE: An undescribed form of arteritis of the temporal vessels . Mayo Clin Proc 1932;7:700-701. 3. Jennings GH: Arteritis of the temporal vessels . Lancet 1938;1:424-428.Crossref 4. Barber HS: Myalgic syndrome with constitutional effects: Polymyalgia rheumatica . Ann Rheum Dis 1957;16:230-237.Crossref 5. Keltner JL: Giant-cell arteritis: Signs and symptoms . Ophthalmology 1982;898:1101-1110.Crossref 6. Huston KA, Hunder GG, Lie JT, et al: Temporal arteritis: A 25-year epidemiologic, clinical and pathologic study . Ann Intern Med 1978;88:162-167.Crossref 7. Goder G: Durchblutungstorungen des Auges und Biopsie der Arteria Temporalis . Leipzig, Glorg Thierne, 1968. 8. Cohen DN, Smith TR: Skip areas in temporal arteritis: Myth versus fact . Trans Am Acad Ophthalmol Otolaryngol 1974;78:772-783. 9. Albert DM, Ruchman MC, Keltner JL: Skip areas in temporal arteritis . Arch Ophthalmol 1976;94:2072-2077.Crossref 10. Klein RG, Campbell RJ, Hunder GG, et al: Skip lesions in temporal arteritis . Mayo Clin Proc 1976;51:504-510. 11. Brownstein S, Nicolle DA, Codère F: Bilateral blindness in temporal arteritis with skip areas . Arch Ophthalmol 1983;101:388-391.Crossref 12. Sanford RG, Berney SN: Polymyalgia rheumatica and temporal arteritis in blacks: Clinical features and HLA typing . J Rheumatol 1977;4:435-442. 13. Ballou SP, Khan MA, Kushner J: Giant-cell arteritis in a black patient . Ann Intern Med 1978; 88:659-660.Crossref 14. Dimant J, Farmer PM, Sobol N: Giant cell arteritis in a black person . Arthritis Rheum 1978; 21:391-393.Crossref 15. Goodman LJ, Layfer LF, Banner BF: Polymyalgia rheumatica and giant-cell arteritis in a black woman . N Engl J Med 1978;298:113. 16. Townes DE, Blodi FC: The diagnostic value of temporal-artery biopsy . Trans Am Ophthalmol Soc 1968;66:33-44. 17. Hauser WA, Ferguson RH, Holley KE, et al: Temporal arteritis in Rochester, Minnesota; 1951 to 1967 . Mayo Clin Proc 1971;46:597-601. 18. Fauchald P, Rygvold O, Øystese B: Temporal arteritis and polymyalgia rheumatica: Clinical and biopsy findings . Ann Intern Med 1972; 77:845-852.Crossref 19. Olhagen B: Polymyalgia rheumatica and temporal arteritis . Acta Rheumatol Scand 1963; 9:157-164.Crossref 20. Kogstad O: Polymyalgia rheumatica and its relation to arteritis temporalis . Acta Med Scand 1965;178:591-598.Crossref 21. Jones JG, Hazleman BL: Prognosis and management of polymyalgia rheumatica . Ann Rheum Dis 1981;40:1-5.Crossref 22. Sumkin PA, Healey CA: Giant cell arteritis with polymyalgia rheumatica, loss of vision and abdominal symptoms during a four-year course . Arthritis Rheum 1969;12:147-150.Crossref 23. Hedges TR, Gieger GL, Albert DM: The clinical value of negative temporal artery biopsy specimens . Arch Ophthalmol 1983;101:1251-1254.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

The Ultimate Diagnoses of Patients Undergoing Temporal Artery Biopsies

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1984.01040030721028
Publisher site
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Abstract

Abstract • Patients with signs and symptoms of giant cell arteritis may have normal temporal artery biopsy specimens. To study the relationships between signs and symptoms of this disease and the ultimate clinical diagnosis, we reviewed 51 patients who had undergone temporal artery biopsy. The mean age of the patients with abnormal biopsy specimens was higher than that of patients with normal biopsy specimens. We found headache, fever, and jaw claudication were useful symptoms in predicting abnormal biopsy specimens. The ultimate diagnoses of patients with normal biopsy specimens and no response to treatment showed high incidence of malignant neoplasms and diabetes mellitus. References 1. Hutchinson J: Diseases of the arteries: On a peculiar form of thrombotic arteritis of the aged which is sometimes productive of gangrene . Arch Surg 1890;1:323-329. 2. Horton BT, Magath TB, Brown GE: An undescribed form of arteritis of the temporal vessels . Mayo Clin Proc 1932;7:700-701. 3. Jennings GH: Arteritis of the temporal vessels . Lancet 1938;1:424-428.Crossref 4. Barber HS: Myalgic syndrome with constitutional effects: Polymyalgia rheumatica . Ann Rheum Dis 1957;16:230-237.Crossref 5. Keltner JL: Giant-cell arteritis: Signs and symptoms . Ophthalmology 1982;898:1101-1110.Crossref 6. Huston KA, Hunder GG, Lie JT, et al: Temporal arteritis: A 25-year epidemiologic, clinical and pathologic study . Ann Intern Med 1978;88:162-167.Crossref 7. Goder G: Durchblutungstorungen des Auges und Biopsie der Arteria Temporalis . Leipzig, Glorg Thierne, 1968. 8. Cohen DN, Smith TR: Skip areas in temporal arteritis: Myth versus fact . Trans Am Acad Ophthalmol Otolaryngol 1974;78:772-783. 9. Albert DM, Ruchman MC, Keltner JL: Skip areas in temporal arteritis . Arch Ophthalmol 1976;94:2072-2077.Crossref 10. Klein RG, Campbell RJ, Hunder GG, et al: Skip lesions in temporal arteritis . Mayo Clin Proc 1976;51:504-510. 11. Brownstein S, Nicolle DA, Codère F: Bilateral blindness in temporal arteritis with skip areas . Arch Ophthalmol 1983;101:388-391.Crossref 12. Sanford RG, Berney SN: Polymyalgia rheumatica and temporal arteritis in blacks: Clinical features and HLA typing . J Rheumatol 1977;4:435-442. 13. Ballou SP, Khan MA, Kushner J: Giant-cell arteritis in a black patient . Ann Intern Med 1978; 88:659-660.Crossref 14. Dimant J, Farmer PM, Sobol N: Giant cell arteritis in a black person . Arthritis Rheum 1978; 21:391-393.Crossref 15. Goodman LJ, Layfer LF, Banner BF: Polymyalgia rheumatica and giant-cell arteritis in a black woman . N Engl J Med 1978;298:113. 16. Townes DE, Blodi FC: The diagnostic value of temporal-artery biopsy . Trans Am Ophthalmol Soc 1968;66:33-44. 17. Hauser WA, Ferguson RH, Holley KE, et al: Temporal arteritis in Rochester, Minnesota; 1951 to 1967 . Mayo Clin Proc 1971;46:597-601. 18. Fauchald P, Rygvold O, Øystese B: Temporal arteritis and polymyalgia rheumatica: Clinical and biopsy findings . Ann Intern Med 1972; 77:845-852.Crossref 19. Olhagen B: Polymyalgia rheumatica and temporal arteritis . Acta Rheumatol Scand 1963; 9:157-164.Crossref 20. Kogstad O: Polymyalgia rheumatica and its relation to arteritis temporalis . Acta Med Scand 1965;178:591-598.Crossref 21. Jones JG, Hazleman BL: Prognosis and management of polymyalgia rheumatica . Ann Rheum Dis 1981;40:1-5.Crossref 22. Sumkin PA, Healey CA: Giant cell arteritis with polymyalgia rheumatica, loss of vision and abdominal symptoms during a four-year course . Arthritis Rheum 1969;12:147-150.Crossref 23. Hedges TR, Gieger GL, Albert DM: The clinical value of negative temporal artery biopsy specimens . Arch Ophthalmol 1983;101:1251-1254.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1984

References