Vasculitis & polymyalgia rheumatica

Magnetic resonance imaging to monitor disease activity in giant cell arteritis treated with ultra-short glucocorticoids and tocilizumab

Rheumatology (Oxford)Published Mechanistic study

Authors' conclusion

Vasculitic manifestations in the cranial vessels normalized after 52 weeks of treatment, whereas large vessel and PMR findings persisted despite lasting full remission.

Study context

Population
Patients with newly diagnosed GCA in the GUSTO trial
Participants
18 patients
Outcome
Vasculitic and musculoskeletal MRI findings over time
Methodological detailsMRI substudy of the GUSTO trial, longitudinal, MRI at baseline (active, new-onset disease), weeks 24, 52 (remission on-treatment) and 104 (remission off-treatment)
  • MRI substudy of the GUSTO trial
  • Longitudinal
  • MRI at baseline (active, new-onset disease), weeks 24, 52 (remission on-treatment) and 104 (remission off-treatment)

Main finding

As reported in the abstract

Vasculitic vessels still detectable in one in four cranial segments

week 24

No cranial vascular segment showed a vasculitic manifestation

weeks 52 and 104

Original publication

Magnetic resonance imaging to monitor disease activity in giant cell arteritis treated with ultra-short glucocorticoids and tocilizumab. Rheumatology (Oxford). Published 22 July 2024. doi:10.1093/rheumatology/keae378

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