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Aktuelle Rheumatologie 2017; 42(05): 385-390
DOI: 10.1055/s-0042-105953
Übersichtsarbeit
Georg Thieme Verlag KG Stuttgart · New York

Ultraschall bei Vaskulitiden

Ultrasound in Vasculitis
W. A. Schmidt
1   Rheumatologie und Klinische Immunologie, Innere Medizin, Immanuel-Krankenhaus Rheumaklinik Berlin-Buch, Berlin
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Publication History

Publication Date:
18 September 2017 (online)

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Zusammenfassung

Mittels Ultraschall lässt sich eine pathognomonische Gefäßwandschwellung bei Vaskulitiden an Temporalarterien und an extrakraniellen Arterien nachweisen. Die Sonografie ist wichtiger Bestandteil in der Diagnostik der Arteriitis temporalis, der Riesenzellarteriitis großer Gefäße und der Takayasu Arteriitis geworden. Durch „Fast Track Clinics“ in denen gleichzeitig fachärztliche klinische Untersuchung und Sonografie mindestens von Temporal- und Axillararterien angeboten wird, kann die Inzidenz von Erblindungen reduziert werden.

Abstract

Ultrasound demonstrates pathognomonic swelling of the walls of temporal and extracranial arteries in cases of vasculitis. It has been established as an important diagnostic procedure in temporal arteritis, large-vessel giant cell arteritis and Takayasuʼs arteritis. The introduction of fast-track clinics, which simultaneously offer specialist clinical examinations and ultrasound of at least the temporal and axillary arteries, prevents the incidence of sight-loss.

Schlüsselwörter

Arteriitis temporalis - Riesenzellarteriitis - Polymyalgia rheumatica - Takayasu Arteriitis - Sonografie

Key words

temporal arteritis - giant cell arteritis - polymyalgia rheumatica - Takayasu arteritis - ultrasound
 

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