Abstract:
BACKGROUND:Temporal artery biopsy (TAB) is a surgical procedure with a low positive yield. The purpose of this study is to determine which variables are the most important in the giant cell arteritis (GCA) diagnosis. The objective of this evaluation is to improve the percentage of positive temporal artery biopsy and if possible, avoid the biopsy in some cases. MATERIAL AND METHODS:A retrospective clinical study consisted of 90 patients who had undergone TAB at the Río Hortega Hospital (Spain) from January 2009 to December 2016. Clinical findings, erythrocyte sedimentation rates (ESR) and other laboratory parameters, American College of Rheumatology (ACR) criteria for GCA score and biopsy results were recorded. RESULTS:Nineteen (21.1%) biopsies were positive for GCA. The mean age in positive TAB was 78.6 years old (SD 7.93), and 73.7% were female. Presence of temporal headache (p = 0.003), jaw claudication (p = 0.001), abnormal artery exploration (p = 0.023), elevated erythrocyte sedimentation rate (p = 0.035), CRP (p = 0.018) and platelets (p = 0.042), were significantly associated with GCA. Multivariate logistic regression revealed that the best predictors for the diagnosis of GCA are headache and jaw claudication, adjusted by sex, age, and temporal exploration. CONCLUSIONS:TAB has benefit only for patients who score a 2 or 3 on the ACR criteria for GCA without biopsy. These findings highlight the need for a better diagnostic strategy for patients with suspected temporal arteritis.
journal_name
Med Oral Patol Oral Cir Bucaljournal_title
Medicina oral, patologia oral y cirugia bucalauthors
Peral-Cagigal B,Pérez-Villar Á,Redondo-González LM,García-Sierra C,Morante-Silva M,Madrigal-Rubiales B,Verrier-Hernández Adoi
10.4317/medoral.22298subject
Has Abstractpub_date
2018-05-01 00:00:00pages
e290-e294issue
3eissn
1698-4447issn
1698-6946pii
22298journal_volume
23pub_type
杂志文章abstract:INTRODUCTION:As important effector cells of the innate immune system, neutrophils are involved in rejection of solid organ and/or tissue transplants. But their role in rejection of oral mucosa transplantation (OMT) remains unclear. The aim of this study is to observe the spatial-temporal change of neutrophils during ac...
journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
doi:10.4317/medoral.16.e341
更新日期:2011-05-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
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journal_title:Medicina oral, patologia oral y cirugia bucal
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更新日期:2020-09-01 00:00:00
abstract::The keratocystic odontogenic tumour (KCOT), formerly known as the odontogenic keratocyst (OKC) is a benign intraosseous lesion that derives from remnants of the dental lamina. Due to its characteristics, clinical and histopathological features and various treatment approaches, this pathology is different comparing wit...
journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章,评审
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章,评审
doi:
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abstract:OBJECTIVES:Oral-Health-Related Quality of Life (OHRQoL) instruments, such as the Child Perceptions Questionnaire 11-14 (CPQ11-14), are broadly used in oral health surveys around the world. However, there is a lack of these instruments in Spanish language limiting the comparison of OHRQoL outcomes among countries, cultu...
journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
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abstract::Mineral trioxide aggregate (MTA) has shown potential as a repair material for perforations. This clinical case demonstrates that when MTA was used as a repair material for root perforation due to invasive cervical resorption, the tooth was well in function for 27 months. Both clinical and radiographic follow-up showed...
journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
doi:
更新日期:2008-10-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
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doi:
更新日期:2011-09-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
doi:
更新日期:2006-08-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
doi:10.4317/medoral.16.e573
更新日期:2011-07-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
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更新日期:2020-10-09 00:00:00
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更新日期:2012-01-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章,评审
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更新日期:2010-07-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
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更新日期:2017-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
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doi:
更新日期:2010-09-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
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更新日期:2020-07-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
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更新日期:2013-03-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
doi:
更新日期:2008-04-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章
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更新日期:2011-01-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
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journal_title:Medicina oral, patologia oral y cirugia bucal
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journal_title:Medicina oral, patologia oral y cirugia bucal
pub_type: 杂志文章,评审
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更新日期:2013-07-01 00:00:00
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journal_title:Medicina oral, patologia oral y cirugia bucal
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更新日期:2020-05-01 00:00:00