| Technology Insight: the role of color and power Doppler ultrasonography in rheumatology. | |
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MedLine Citation:
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PMID: 17203007 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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An increasing number of rheumatologists have access to ultrasound equipment that provide both color and power Doppler modes, which can be used to investigate musculoskeletal and vascular pathologies. Musculoskeletal Doppler ultrasonography can be used to estimate levels of inflammation, to document the anti-inflammatory effect of agents such as corticosteroids and tumor necrosis factor inhibitors, to differentiate between inflammatory and degenerative disease, and to distinguish between normal and inflamed joints in cases of minor synovial swelling. Vascular Doppler ultrasonography can be used to determine organ involvement in small-vessel vasculitides, to delineate aneurysms in vasculitides of medium-sized arteries, and to assess the characteristic findings in large-vessel vasculitis. Numerous studies, including a meta-analysis, have been published on the use of temporal-artery ultrasonography for the diagnosis of giant cell arteritis. Duplex ultrasonography is a sensitive approach for detecting characteristic edematous wall swellings in active temporal arteritis and for assessing vasculitis of the axillary arteries (large-vessel giant cell arteritis) in patients with suspected temporal arteritis, polymyalgia rheumatica, or fever of unknown origin. Duplex ultrasonography can also be used to assess vasculitis of subclavian and carotid arteries in younger patients with Takayasu's arteritis and acute finger artery occlusions in patients with small-vessel vasculitides. |
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Authors:
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Wolfgang A Schmidt |
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1807817 - Surgical pathology of cranial arteritis and polymyalgia rheumatica. 6895987 - Sudden unexpected death due to coronary giant cell arteritis. 11130757 - Ophthalmic artery microembolism in giant cell arteritis. 19949317 - A case of takayasu arteritis complicated by right atrium perforation and injuries of th... 16741737 - Popliteal artery entrapment syndrome: morphological classification utilizing mr imaging. 22100927 - Computed tomographic angiography in tetralogy of fallot. |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Nature clinical practice. Rheumatology Volume: 3 ISSN: 1745-8382 ISO Abbreviation: - Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2007-01-04 Completed Date: 2007-02-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101261802 Medline TA: Nat Clin Pract Rheumatol Country: United States |
Other Details:
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Languages: eng Pagination: 35-42; quiz 59 Citation Subset: IM |
Affiliation:
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Medical Center for Rheumatology in Berlin-Buch, Germany. w.schmidt@immanuel.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Humans Inflammation / pathology, ultrasonography Musculoskeletal System / pathology, ultrasonography Rheumatic Diseases / pathology, ultrasonography Rheumatology / methods* Ultrasonography, Doppler / methods* Ultrasonography, Doppler, Color / methods* Ultrasonography, Doppler, Duplex / methods Vasculitis / pathology, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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