作者
Gene G Hunder, Daniel A Bloch, Beat A Michel, Mary Betty Stevens, William P Arend, Leonard H Calabrese, Steven M Edworthy, Anthony S Fauci, Randi Y Leavitt, JT Lie, Robert W Lightfoot Jr, Alfonse T Masi, Dennis J McShane, John A Mills, Stanley L Wallace, Nathan J Zvaifler
发表日期
1990/8
期刊
Arthritis & Rheumatism
卷号
33
期号
8
页码范围
1122-1128
出版商
John Wiley & Sons, Inc.
简介
Criteria for the classification of giant cell (temporal) arteritis were developed by comparing 214 patients who had this disease with 593 patients with other forms of vasculitis. For the traditional format classification, 5 criteria were selected: age ≥50 years at disease onset, new onset of localized headache, temporal artery tenderness or decreased temporal artery pulse, elevated erythrocyte sedimentation rate (Westergren) ≥50 mm/hour, and biopsy sample including an artery, showing necrotizing arteritis, characterized by a predominance of mononuclear cell infiltrates or a granulomatous process with multinucleated giant cells. The presence of 3 or more of these 5 criteria was associated with a sensitivity of 93.5% and a specificity of 91.2%. A classification tree was also constructed using 6 criteria. These criteria were the same as for the traditional format, except that elevated erythrocyte sedimentation rate was …
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