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. 2001 Aug;85(8):946-8.
doi: 10.1136/bjo.85.8.946.

The suitability of the ultrasound biomicroscope for establishing texture in giant cell arteritis

S Roters  1 , P Szurman, B F Engels, R Brunner
Affiliations

The suitability of the ultrasound biomicroscope for establishing texture in giant cell arteritis

S Roters et al. Br J Ophthalmol. 2001 Aug.

Abstract

Aim: To establish whether ultrasound biomicroscope (UBM) is a helpful tool in locating the arterial segment responsible in patients with segmental attacks in giant cell arteritis

Methods: The superficial temporal arteries of 19 patients with suspected giant cell arteritis were examined with the UBM before biopsy.

Results: 20 specimens provided the histological proof of giant cell arteritis in five patients. Side differences, a dark perivascular halo, and high reflexivity of the intra-arterial space were found.

Conclusion: it is assumed that there are two types of arteritic inflammation: (1) the occlusion of intra-arterial space due to intimal fibrosis (UBM: high reflexive "filling"), and (2) inflammation of the perivascular zone with oedematous thickening and infiltration of the media (UBM: dark halo) and its combination. UBM is helpful in obtaining an indication of the side and segment for biopsy.

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