Evidence map›Paper›PMID 38659551›Full record

ArticleCureus2024

Headache-Related Characteristics of Biopsy-Confirmed Giant Cell Arteritis and the Relationship of Transmural Inflammation With Artery Tenderness and Chordal Thickening.

Sho Shimohama, Noboru Imai, Takuya Tsubata, Kei Shinohara, Asami Moriya, Nobuyasu Yagi, Takashi Konishi, Masahiro Serizawa, Kazuhiro Tashiro

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Sho ShimohamaDepartment of Neurology, Japanese Red Cross Shizuoka Hospital, Shizuoka, JPN.
Noboru ImaiDepartment of Neurology, Japanese Red Cross Shizuoka Hospital, Shizuoka, JPN.
Takuya TsubataDepartment of Neurology, Japanese Red Cross Shizuoka Hospital, Shizuoka, JPN.
Kei ShinoharaDepartment of Neurology, Japanese Red Cross Shizuoka Hospital, Shizuoka, JPN.
Asami MoriyaDepartment of Neurology, Japanese Red Cross Shizuoka Hospital, Shizuoka, JPN.
Nobuyasu YagiDepartment of Neurology, Japanese Red Cross Shizuoka Hospital, Shizuoka, JPN.
Takashi KonishiDepartment of Neurology, Japanese Red Cross Shizuoka Hospital, Shizuoka, JPN.
Masahiro SerizawaDepartment of Neurology, Japanese Red Cross Shizuoka Hospital, Shizuoka, JPN.
Kazuhiro TashiroDepartment of Pathology, Japanese Red Cross Shizuoka Hospital, Shizuoka, JPN.
Keio University · JPShizuoka Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGiant cell arteritis (GCA) is characterized by headaches, but few studies have examined the detailed characteristics of pathologically confirmed cases. We investigated the characteristics of GCA patients, particularly headache, and their correlation with pathological findings.

methodsWe retrospectively analyzed 26 patients (median age: 77.5 years, male: 38.4%) with GCA who underwent superficial temporal artery (STA) biopsy at the Japanese Red Cross Shizuoka Hospital between May 2001 and February 2022. All patients fulfilled the American College of Rheumatology and European League Against Rheumatism classification criteria for GCA. We focused on the relationship between clinical features, especially headache, and pathological findings.

resultsTwenty-four patients had unilateral, nonpulsatile, intermittent headaches. Transmural inflammation (TMI), a characteristic pathology of GCA, was present in 14 patients. Bivariate analysis revealed significant associations between the TMI and STA-related tenderness (odds ratio [OR]=11, 95% confidence interval [CI]=1.14 to 106.43, p=0.046) and the TMI and STA-related chordal thickening (OR=0.19, 95% CI=0.068 to 0.52, p=0.021).

conclusionsHeadache in GCA patients was often unilateral, nonpulsatile, and intermittent. This study highlights the significant association of TMI with STA tenderness and ligamentous thickening, which has not been reported previously. Abnormal STA findings were significantly associated with pathological changes in GCA patients, emphasizing the importance of these lesions in predicting GCA.

Indexed as

biopsy positivegiant cell arteritisheadachetendernesstransmural inflammation

Identifiers

PMID38659551
PMCPMC11039303
OpenAlexW4395065964

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Registered trials

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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.