Evidence map›Paper›PMID 31649025›Full record

ArticleAnnals of the rheumatic diseases2020

Clinical symptoms and associated vascular imaging findings in Takayasu's arteritis compared to giant cell arteritis.

Despina Michailidou, Joel S Rosenblum, Casey A Rimland, Jamie Marko, Mark A Ahlman, Peter C Grayson

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Annals of the rheumatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02257866 (Studies of the Natural History, Pathogenesis, and Outcome of Idiopathic Systemic Vasculitis), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02257866 recruitingnot on this map

Studies of the Natural History, Pathogenesis, and Outcome of Idiopathic Systemic Vasculitis

TypeobservationalSponsorNational Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)Ran2014 to 2050Enrolled4,000ConditionsTakayasu's Arteritis, Giant Cell Arteritis, Polyarteritis Nodosa, Relapsing Polychondritis
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. ACR Appropriateness Criteria® Noncerebral Vasculitis.Journal of the American College of Radiology : JACR · 2021
    Guideline
  3. Article
  4. Review
  5. Review
  6. Use ofACR open rheumatology · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Large-vessel vasculitis.Nature reviews. Disease primers · 2022
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Autoimmunity in 2019.Clinical reviews in allergy & immunology · 2020
    Review
  18. Review
  19. [Treatment of Takayasu arteritis].Zeitschrift fur Rheumatologie · 2020
    Review
  20. Giant Cell Arteritis versus Takayasu Arteritis: An Update.Mediterranean journal of rheumatology · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Despina MichailidouSystemic Autoimmunity Branch, National Institutes of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD, USA.
Joel S RosenblumSystemic Autoimmunity Branch, National Institutes of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD, USA.
Casey A RimlandSystemic Autoimmunity Branch, National Institutes of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD, USA.ORCID 0000-0002-5187-6921
Jamie MarkoRadiology and Imaging Services, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.
Mark A AhlmanRadiology and Imaging Services, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.
Peter C GraysonSystemic Autoimmunity Branch, National Institutes of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD, USA peter.grayson@nih.gov.ORCID 0000-0002-8269-9438
National Institute of Arthritis and Musculoskeletal and Skin Diseases · USNational Institutes of Health Clinical Center · USNational Institutes of Health · US

Funding

Vasculitis and Translational MedicineZIAAR041204 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GRAYSON, PETER · 2015 to 2025
$15.4M
Intramural NIH HHS ZIA AR041204
6 · The paper itself

Abstract

objectiveTo compare the presence of head, neck and upper extremity symptoms in patients with Takayasu's (TAK) and giant cell arteritis (GCA) and their association with vascular inflammation assessed by

methodsPatients with TAK and GCA underwent clinical and imaging assessments within 24 hours, blinded to each other. Vascular inflammation was defined as arterial FDG-PET uptake greater than liver by visual assessment. Arterial damage was defined as stenosis, occlusion, or aneurysm by MRA. Clinically reported symptoms were compared with corresponding imaging findings using generalised mixed model regression. Cranial symptoms were studied in association with burden of arterial disease in the neck using ordinal regression.

resultsParticipants with TAK (n=56) and GCA (n=54) contributed data from 270 visits. Carotidynia was reported only in patients with TAK (21%) and was associated with vascular inflammation (p<0.01) but not damage (p=0.33) in the corresponding carotid artery. Posterior headache was reported in TAK (16%) and GCA (20%) but was only associated with corresponding vertebral artery inflammation and damage in GCA (p<0.01). Arm claudication was associated with subclavian artery damage (p<0.01) and inflammation (p=0.04) in TAK and with damage in GCA (p<0.01). Patients with an increased burden of damaged neck arteries were more likely to experience positional lightheadedness (p<0.01) or a major central nervous system event (p=0.01).

conclusionThe distribution of symptoms and association with imaging abnormalities differs in patients with TAK and GCA. These findings may help clinicians predict associated FDG-PET and MRA findings based on a specific clinical symptom. CLINICAL TRIAL REGISTRATION NUMBER: NCT02257866.

Indexed as

AdultAgedCarotid ArteriesCarotid Artery DiseasesDiagnosis, DifferentialFemaleFluorodeoxyglucose F18Giant Cell ArteritisHeadacheHumansIntermittent ClaudicationMagnetic Resonance AngiographyMaleMiddle AgedNeck PainPositron-Emission TomographyFluorodeoxyglucose F18Radiopharmaceuticalsgiant cell arteritisoutcome assessmentTakayasu’s arteritisvasculitis

Identifiers

PMID31649025
PMCPMC12207754
OpenAlexW2982260346

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.