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Interest of Medical Imaging in the Diagnostic Strategy Vis a Vis a Suspected Horton Disease

Terminated
Conditions
Horton Disease
Registration Number
NCT02473029
Lead Sponsor
Fondation Ophtalmologique Adolphe de Rothschild
Brief Summary

The study aims at measuring the sensitivity and specificity of a series of imaging signs (recorded by magnetic resonance angiography, vascular tomodensitometry, vascular ultrasonography, retina angiography and retina optic coherence tomography) for the diagnosis of Horton disease, the gold standard being the result of temporal artery biopsy.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
45
Inclusion Criteria
  • Patients admitted to the Fondation Ophtalmologique Adolphe de Rothschild and suspected to suffer from Horton disease, based on the presence of 3 or more major criteria, or 2 major criteria and at least one minor criteria.

Major criteria : Age > 50 ans ; headache ; intermittent jaw or tongue pain ; visual impairment ; ESR > 50 mm at 1h and/or CRP > 8mg/l.

Minor criteria: temporal artery or scalp tenderness ; facial pain or tenderness ; fever >38°C, weight loss >10%, anorexia, fatigue.

Exclusion Criteria
  • Autoimmune disease
  • Active infectious condition
  • Malignant disease
  • Condition counterindicating one or several of the protocol's imaging procedures : allergy to iodine and/or renal insufficiency and/or claustrophobia and/or metallic foreign body...

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
MRI angiography mural inflammationBaseline

Presence of signs of artery mural inflammation in T1 sequence of MRI angiography

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Fondation Ophtalmologique A. de Rotchschild

🇫🇷

Paris, France

Fondation Ophtalmologique A. de Rotchschild
🇫🇷Paris, France

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