medicina61巻9号

2024年08月発行

特集 リウマチ膠原病疾患Up To Date！—押さえておきたい最新の診断と治療 膠原病の診断と治療

巨細胞性動脈炎/リウマチ性多発筋痛症の診断と治療

著者： 板金正記¹² 金城光代¹²

所属機関： ¹沖縄県立中部病院総合内科 ²沖縄県立中部病院リウマチ・膠原病科

ページ範囲：P.1496 - P.1500

Point
◎巨細胞性動脈炎（GCA），リウマチ性多発筋痛症（PMR）に特徴的な病歴を押さえる．
◎GCAにおける超音波検査所見を押さえる．
◎GCA，PMRの最新の治療法を押さえる．

参考文献

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2）Dejaco C, et al：EULAR recommendations for the use of imaging in large vessel vasculitis in clinical practice. Ann Rheum Dis 77：636-643, 2018 PMID 29358285

3）Noumegni SR, et al：Temporal artery ultrasound to diagnose giant cell arteritis；A practical guide. Ultrasound Med Biol 47：201-213, 2021 PMID 33143971

4）Dejaco C, et al：EULAR recommendations for the use of imaging in large vessel vasculitis in clinical practice；2023 update. Ann Rheum Dis 83：741-751, 2023 PMID 37550004

5）Fernández-Fernández E, et al：False positives in the ultrasound diagnosis of giant cell arteritis；Some diseases can also show the halo sign. Rheumatology（Oxford）59：2443-2447, 2020 PMID 31953951

6）Dasgupta B, et al：‘Slope sign'；A feature of large vessel vasculitis? Ann Rheum Dis 78：1738, 2019 PMID 31519653

7）Maz M, et al：2021 American College of Rheumatology/vasculitis foundation guideline for the management of giant cell arteritis and Takayasu arteritis. Arthritis Rheumatol 73：1349-1365, 2021 PMID 34235884

8）González-Gay MA, et al：Polymyalgia rheumatica. Lancet 390：1700-1712, 2017 PMID 28774422

9）Myklebust G, Gran JT：A prospective study of 287 patients with polymyalgia rheumatica and temporal arteritis；Clinical and laboratory manifestations at onset of disease and at the time of diagnosis. Br J Rheumatol 35：1161-1168, 1996 PMID 8948307

10）Kobayashi K, et al：Ultrasound of shoulder and knee improves the accuracy of the 2012 EULAR/ACR provisional classification criteria for polymyalgia rheumatica. Rheumatology（Oxford）61：1185-1194, 2022 PMID 34164671

11）Salvarani C, et al：Clinical features of polymyalgia rheumatica and giant cell arteritis. Nat Rev Rheumatol 8：509-521, 2012 PMID 22825731

12）Dejaco C, et al：Current evidence for therapeutic interventions and prognostic factors in polymyalgia rheumatica；A systematic literature review informing the 2015 European League Against Rheumatism/American College of Rheumatology recommendations for the management of polymyalgia rheumatica. Ann Rheum Dis 74：1808-1817, 2015 PMID 26359489

13）Spiera RF, et al；SAPHYR Investigators：Sarilumab for relapse of polymyalgia rheumatica during glucocorticoid taper. N Engl J Med 389：1263-1272, 2023 PMID 37792612