The American College of Rheumatology 1990 criteria for the classification of takayasu arteritis

Arend, William P.; Michel, Beat A.; Blöch, D.; Hunder, Gene G.; Calabrese, Leonard H.; Edworthy, Steven M.; Fauci, Anthony S.; Leavitt, Randi Y.; Lie, J.T.; Lightfoot, Robert W.; Masi, Alfonse T.; McShane, Dennis J.; Mills, John A.; Stevens, Mary Betty; Wallace, Stanley L.; Zvaifler, Nathan J.

doi:10.1002/art.1780330811

Cited by 1,922 publications

(1,040 citation statements)

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“…We retrospectively reviewed 40 consecutive FDG-PET scans obtained in 28 patients with TA (21 women and 7 men; median age 36 years [range 15-67 years]) in the nuclear medicine department of Pitié-Salpêtrière Hospital between January 2005 and July 2007. The diagnosis of TA was made according to the American College of Rheumatology (ACR) criteria (9). The presence of a temporal artery abnormality, new-onset headache, visual loss, jaw claudication, and polymyalgia rheumatica were carefully excluded in patients older than 50 years.…”

Section: Methodsmentioning

confidence: 99%

Is ¹⁸F‐fluorodeoxyglucose positron emission tomography scanning a reliable way to assess disease activity in takayasu arteritis?

Arnaud¹,

Haroche²,

Malek³

et al. 2009

Arthritis & Rheumatism

154

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Objective. 18 F-fluorodeoxyglucose-positron emission tomography (FDG-PET) scanning has been proposed as a new way of assessing disease activity in Takayasu arteritis (TA), but previous studies have used the nonvalidated National Institutes of Health (NIH) global activity criteria, and thus might be biased. This study was undertaken to determine the value of PET scanning for assessment of disease activity in TA, by comparing PET scan data with clinical, biologic, and magnetic resonance imaging (MRI) data assessed separately.Methods. Twenty-eight patients with TA (according to the American College of Rheumatology criteria) underwent a total of 40 PET scans. Images were reviewed by 2 pairs of independent nuclear medicine physicians and assessed for pattern and intensity of vascular uptake. TA activity data were obtained within 15 days of the PET scans.Results. PET scanning revealed abnormal vascular uptake in 47% of the 40 examinations. The uptake intensity grade was 0 in 7 scans, grade 1 in 7 scans, grade 2 in 13 scans, and grade 3 in 13 scans. Morphologic analysis was conducted by grading the pattern of the vascular uptake as diffuse (73%), segmental (20%), or focal (13%). There was a trend toward an association between clinically active disease and the semiquantitative assessment of FDG uptake (P ‫؍‬ 0.08). We found no statistical association between levels of acute-phase reactants and intensity of uptake. There was no significant association between the semiquantitative assessment of FDG uptake and the presence of vascular wall thickening (P ‫؍‬ 0.23), gadolinium uptake (P ‫؍‬ 0.73), or the presence of vascular wall edema (P ‫؍‬ 0.56).Conclusion. Our findings indicate that there is no association between FDG vascular uptake intensity and clinical, biologic, or MRI assessment of disease activity. Previous studies using the nonvalidated NIH global activity criteria are likely biased.

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Section: Methodsmentioning

confidence: 99%

Is ¹⁸F‐fluorodeoxyglucose positron emission tomography scanning a reliable way to assess disease activity in takayasu arteritis?

Arnaud¹,

Haroche²,

Malek³

et al. 2009

Arthritis & Rheumatism

154

View full text Add to dashboard Cite

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“…4 On the contrary, the visceral abdominal aorta is more often involved, and the renal and the splanchnic arteries (87% and 62% of cases, respectively). 5 In the search for possible causes of extensive stenosis of the descending thoracic aorta, clues from the patient's medical history and clinical presentation and angiographic and histopathologic findings will help in differential diagnosis between chronic inflammatory processes (arteritis, connective tissue disease), 6 atherosclerosis, or infection. In our patient, laboratory and histopathologic examinations were negative.…”

Section: Discussionmentioning

confidence: 99%

Open Surgical Treatment of a Severe Case of Obstructive Calcifying Aortic Disease

Rispoli

Varetto

Castagno

et al. 2015

Annals of Vascular Surgery

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The obstructive calcifying aortic disease refers to severe calcifications of the descending aorta that obstruct or slow blood flow. Here, we report the case of a 65-year-old woman with recent onset of a very tight intermittent claudication and concomitant severe and uncontrolled hypertension, treated with a bypass graft between the proximal descending thoracic aorta and the supravisceral abdominal aorta.Severe stenosis or total occlusion of the descending aorta usually involving the origin of the visceral and renal arteries is a rare pathologic entity usually called middle aortic syndrome. 1 The commonest etiologies are congenital disorders or inflammatory disease, and adolescents or young people are more commonly affected. Herein, we describe the case of an unusual localization limited to the descending aorta and not involving the visceral vessels without any congenital or inflammatory explanation. CASE REPORTA 65-year-old woman was admitted to our department because of worsening intermittent claudication of the lower limbs and uncontrolled severe hypertension despite 3 medications (b blockers, diuretic, a1-adrenergic blocker). Her past medical history also included type 2 diabetes mellitus treated with oral hypoglycemic agents and dyslipidemia treated with statins; no history of smoke was present. Over the past months, she experienced worsening of general health, with episodes of intense asthenia, headache, dizziness and disorientation, and dyspnea after mild exertion. Physical examination revealed bilateral hyposphygmic femoral pulses and the absence of peripheral pulses. Ankle-brachial index (ABI) was 0.3 on both sides.Echo-color Doppler of the proximal abdominal aorta and iliac arteries showed poststenotic flow in the celiac trunk, superior mesenteric artery, both renal arteries, and the iliac and femoropopliteal axes bilaterally. The supra-aortic vessels appeared normal. Echocardiography demonstrated mild left ventricular hypertrophy, ectasia of the ascending aorta, and calcific stenosis of the descending aorta downstream from the isthmus. A computed tomography angiography (CTA) showed a normal ascending aorta and aortic arch, a severely calcified descending aorta with a pseudocoarctation in the proximal portion (18-mm diameter) and tight stenosis in the mid-distal segment, with reduction of the vessel lumen to a few millimeters just above the celiac trunk (Fig. 1). The splanchnic arteries, the infrarenal aorta, and the renal and the iliac arteries, although severely hypoperfused, were all morphologically normal and free from calcifications.Preoperative blood chemistry showed no significant anomalies. Spirometry demonstrated mild-to-moderate restrictive lung function. Coronary angiography revealed no abnormalities of the coronary arteries, and aortography showed an 85emm Hg pressure gradient at the lower extremity of the restricted aorta. Total body positron emission tomography was performed to rule out focal inflammatory processes in the aorta, but it did not show any abnormal tracer distribution. Antibod...

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“…The differences between the ACR criteria [32,[36][37][38] and the Ankara 2008 criteria [10] are summarized in Table 2.…”

Section: Ankara 2008 Criteriamentioning

confidence: 99%

Vasculitis: do we know more to classify better?

Batu

Özen

2014

Pediatr Nephrol

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The systemic vasculitides are a heterogeneous group of disorders characterized by the inflammation of blood vessels. The development and implementation of advanced diagnostic tests and genetic studies have resulted in substantial improvement in our understanding of vasculitis pathogenesis, resulting in the revision of the nomenclature and classification for vasculitis. Multicenter, collaborative studies are currently underway to develop improved diagnostic criteria. In this review, the major nomenclature and classification systems for vasculitides are summarized, with special emphasis on those emerging from the recent 2012 Chapel Hill Consensus Conference (CHCC).

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The American College of Rheumatology 1990 criteria for the classification of takayasu arteritis

Cited by 1,922 publications

References 10 publications

Is ¹⁸F‐fluorodeoxyglucose positron emission tomography scanning a reliable way to assess disease activity in takayasu arteritis?

Is ¹⁸F‐fluorodeoxyglucose positron emission tomography scanning a reliable way to assess disease activity in takayasu arteritis?

Open Surgical Treatment of a Severe Case of Obstructive Calcifying Aortic Disease

Vasculitis: do we know more to classify better?

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The American College of Rheumatology 1990 criteria for the classification of takayasu arteritis

Cited by 1,922 publications

References 10 publications

Is 18F‐fluorodeoxyglucose positron emission tomography scanning a reliable way to assess disease activity in takayasu arteritis?

Is 18F‐fluorodeoxyglucose positron emission tomography scanning a reliable way to assess disease activity in takayasu arteritis?

Open Surgical Treatment of a Severe Case of Obstructive Calcifying Aortic Disease

Vasculitis: do we know more to classify better?

Contact Info

Product

Resources

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Is ¹⁸F‐fluorodeoxyglucose positron emission tomography scanning a reliable way to assess disease activity in takayasu arteritis?

Is ¹⁸F‐fluorodeoxyglucose positron emission tomography scanning a reliable way to assess disease activity in takayasu arteritis?