Biopsy negative giant cell arteritis–Revised diagnostic criteria: Giant cell arteritis diagnostic criteria



      Diagnosis of giant cell arteritis has traditionally relied on demonstration of pathologic changes on temporal artery biopsy.


      To highlight recent advances in large vessel imaging resulting in revised diagnostic criteria for giant cell arteritis.


      We call attention to the revised diagnostic criteria imaging evidence of extracranial large vessel thickening as an alternative to temporal artery biopsy in diagnosis of giant cell arteritis in a patient with heralding anterior fornix infarct.


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        • Wiberg F
        • Naderi N
        • Mohammad AJ
        • Turesson C.
        Evaluation of revised classification criteria for giant cell arteritis and its clinical phenotypes.
        Rheumatology (Oxford). 2022; 61: 383-387
        • Moudgil SS
        • Azzouz M
        • Al-Azzaz A
        • Haut M
        • Guttmann L.
        Amnesia due to fornix infarction.
        Stroke. 2000; 31: 1418-1419
        • Murr N
        • Thaisetthawatkul P
        • Helvey J
        • Fayad P.
        Selective infarction of the anterior genu fornicies associated with giant cell arteritis.
        J Stroke Cerebrovasc Dis. 2012; 21: 327-329
        • Dejaco C
        • Duftner C
        • Buttgereit F
        • Matteson EL
        • Desgupta B.
        The spectrum of giant cell arteritis and polymyalgia rheumatica: revisiting the concept of the disease.
        Rheumatology. 2017; 56: 506-515
        • Lariviere D
        • Sacre K
        • Klein I
        • Hyafil F
        • Choudat L
        • Chauveheid M-P
        • Papo T.
        Extra- and intracranial cerebral vasculitis in giant cell arteritis.
        Medicine. 2014;
        • Berthod PE
        • Aho-Glele S
        • Ornetti P
        • Chevallier D
        • Devilliero H
        • Ricolfi F
        • Bonnotte B
        • Loffroy R
        • Samson M.
        CT analysis of the aorta in giant-cell arteritis: a case study.
        Eur Radiol. 2018; 28: 3676-3684
        • Rubenstein E
        • Maldini C
        • Gonzalez-Chiappe S
        • Chevret S
        • Mahr A.
        Sensitivity of temporal artery biopsy in the diagnosis of giant cell arteritis: a systematic literature review and meta-analysis.
        Rheumatology. 2020; 59: 1011-1020
        • Narvaez J.
        • Bernad B
        • Roig-Vilaseeca D
        • Garcia-Gomez C
        • Gomez-Vaquero C
        • Juanola X
        • Rodriguez-Moreno J
        • Nolla JM
        • Valverde J.
        Influence of previous corticosteroid therapy on temporal artery biopsy yield in giant cell arteritis.
        Semin Arthritis Rheum. 2007; 37: 13-19
        • Dejaco C
        • Dutner C
        • Buttgereit F
        • Matteson EL
        • Dasgupta B.
        The spectrum of giant cell arteritis and polymyalgia rheumatica: revisiting the concept of the disease.
        Rheumatology. 2017; 56: 506-515
        • De Souza AWS
        • de Carvalho JF.
        Diagnostic and classification criteria of Takayasu arteritis.
        J Autoimmun. 2014; 48-49: 79-83