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Distinction between diagnostic and classification criteria: a comment on ‘Biopsy negative giant cell arteritis – Revised diagnostic criteria: Giant cell arteritis diagnostic criteria’

      We read with interest the case reported by Dr. Paquale Finelli
      • Finelli P.F.
      Biopsy negative giant cell arteritis-Revised diagnostic criteria: giant cell arteritis diagnostic criteria.
      which highlighted the importance of evaluating patients with non-invasive arterial imaging to identify radiographic features of large-vessel vasculitis (LVV). We agree with the author that evaluating for extracranial LVV is advised among patients presenting with stroke, elevated inflammatory markers, systemic inflammatory symptoms, and absence of traditional vascular risk factors; particularly if a thromboembolic source is not identified. Indeed, the increased utilization of non-invasive large vessel imaging has greatly expanded the understanding of the clinical landscape and spectrum of LVV.

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      References

        • Finelli P.F.
        Biopsy negative giant cell arteritis-Revised diagnostic criteria: giant cell arteritis diagnostic criteria.
        J Stroke Cerebrovasc Dis. 2022; 31106660
        • Dejaco C.
        • Duftner C.
        • Buttgereit F.
        • Matteson E.L.
        • Dasgupta B.
        The spectrum of giant cell arteritis and polymyalgia rheumatica: revisiting the concept of the disease.
        Rheumatology (Oxford). 2017; 56: 506-515
        • Hunder G.G.
        • Bloch D.A.
        • Michel B.A.
        • et al.
        The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis.
        Arthritis Rheum. 1990; 33: 1122-1128
        • Koster M.J.
        • Warrington K.J.
        Classification of large vessel vasculitis: Can we separate giant cell arteritis from Takayasu arteritis?.
        Presse Med. 2017; 46: e205-e213
        • Aggarwal R.
        • Ringold S.
        • Khanna D.
        • et al.
        Distinctions between diagnostic and classification criteria?.
        Arthritis Care Res (Hoboken). 2015; 67: 891-897
        • Fries J.F.
        • Hochberg M.C.
        • Medsger T.A.
        • Hunder G.G.
        • Bombardier C.
        Criteria for rheumatic disease. Different types and different functions. The American college of rheumatology diagnostic and therapeutic criteria committee.
        Arthritis Rheum. 1994; 37: 454-462
        • Muratore F.
        • Kermani T.A.
        • Crowson C.S.
        • et al.
        Large-vessel giant cell arteritis: a cohort study.
        Rheumatology (Oxford). 2015; 54: 463-470
        • Basu N.
        • Watts R.
        • Bajema I.
        • et al.
        EULAR points to consider in the development of classification and diagnostic criteria in systemic vasculitis.
        Ann Rheum Dis. 2010; 69: 1744-1750
        • Grayson P.C.
        • Ponte C.
        • Suppiah R.
        • et al.
        2022 American College of Rheumatology/European alliance of associations for rheumatology classification criteria for eosinophilic granulomatosis with polyangiitis.
        Ann Rheum Dis. 2022; 81: 309-314
        • Robson J.C.
        • Grayson P.C.
        • Ponte C.
        • et al.
        2022 American college of rheumatology/European alliance of associations for rheumatology classification criteria for granulomatosis with polyangiitis.
        Ann Rheum Dis. 2022; 81: 315-320
        • Suppiah R.
        • Robson J.C.
        • Grayson P.C.
        • et al.
        2022 American College of Rheumatology/European Alliance of Associations for Rheumatology classification criteria for microscopic polyangiitis.
        Ann Rheum Dis. 2022; 81: 321-326

      Linked Article

      • Reply to Koster et al. letter to editor
        Journal of Stroke and Cerebrovascular DiseasesVol. 31Issue 12
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          Dr. Koster et al, aptly call attention to the distinction in diagnostic and classification criteria and comment criteria proposed by Dejaco and colleagues1 were to advise updates for criteria for classification not diagnosis. While true, Dejaco et al.2 state “The objective of this project was to provide user-friendly, evidence-based recommendations for the use of imaging modalities for diagnosis, monitoring and outcome of primary LVV”. In their discussion they note, “In summary, we developed 12 recommendations on the use of imaging for the diagnosis and monitoring of LVV”.
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