| An easy and safe procedure for temporal artery biopsy. | |
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MedLine Citation:
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PMID: 17241593 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Temporal arteritis is a very serious form of vasculitis. Early treatment is essential to avoid blindness. Surgical biopsy of the temporal artery is the gold standard for the diagnosis, but facial nerve injuries may occur. OBJECTIVE: To describe a simple and safe procedure for temporal artery biopsy. METHODS: Case report. RESULTS: A 62-year-old-woman with presumed temporal arteritis was referred. Precise localization of temporal arteries and its branches was obtained with color duplex ultrasonography. Arterial wall thickening (halo sign) was observed in the affected arterial segments. A frontal branch was precisely localized and infiltrated with 1% lidocaine. About 1 cm was removed for histopathologic examination. Thirty minutes was required to perform this outpatient procedure. The diagnosis of temporal arteritis was confirmed, and the patient was rapidly and successfully treated with prednisone. CONCLUSIONS: Color duplex ultrasonography allows precise localization of temporal arteries and its branches. This echocardiography-guided surgical procedure is easy and safe. Most dermatologic surgeons can perform it. |
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Authors:
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Bernard Noël |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cutaneous medicine and surgery Volume: 10 ISSN: 1203-4754 ISO Abbreviation: J Cutan Med Surg Publication Date: 2006 May-Jun |
Date Detail:
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Created Date: 2007-01-23 Completed Date: 2007-11-05 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9614685 Medline TA: J Cutan Med Surg Country: United States |
Other Details:
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Languages: eng Pagination: 147-50 Citation Subset: IM |
Affiliation:
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Department of Dermatology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. bernard.noel@chuv.ch |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Biopsy
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methods* Diagnosis, Differential Female Giant Cell Arteritis / pathology*, ultrasonography Humans Middle Aged Ultrasonography, Interventional |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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