Vasculitis & polymyalgia rheumatica

Diagnostic accuracy of serum biomarkers to identify giant cell arteritis in patients with polymyalgia rheumatica

RMD OpenPublished Diagnostic accuracy study

Authors' conclusion

Combined serum biomarkers such as CXCL9/IL-6 and MMP-3/sCD141 could help identify GCA in patients with isolated PMR.

Study context

Population
Patients with isolated polymyalgia rheumatica (PMR) or PMR/giant cell arteritis (GCA) overlap, sampled before starting GC
Participants
29 vs 45
Comparison
PMR/GCA overlap vs isolated PMR
  • GCAn = 29
  • Isolated PMRn = 45reference
Outcome
Serum biomarkers and ratios to identify GCA
Methodological detailsLuminex assays, blood samples before glucocorticoids
  • Luminex assays
  • Blood samples before glucocorticoids

Performance

As reported in the abstract

  • AUC of sCD141, CXCL9, IL-6 and MMP-3 separately: none >0.7; combinations gave higher diagnostic accuracy
  • GCA vs Isolated PMR: P = 0.002
  • GCA vs Isolated PMR: P = 0.002
  • GCA vs Isolated PMR: P = 0.01
  • GCA vs Isolated PMR: P = 0.004
  • GCA vs Isolated PMR: P = 0.0001
  • GCA vs Isolated PMR: P < 0.0001

Further findings

Diagnostic accuracy in subclinical GCA

sCD141 AUC
0.81
MMP-3/sCD141 ratio AUC
0.77

Original publication

Diagnostic accuracy of serum biomarkers to identify giant cell arteritis in patients with polymyalgia rheumatica. RMD Open. Published 8 August 2024. doi:10.1136/rmdopen-2024-004488

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.