Giant cell arteritis (GCA) presents to all specialties due to its early non-specific initial symptoms. As new-onset headache is one of the principal symptoms of cranial GCA, neurologists often assess (and indeed may manage) people with this condition, in isolation from rheumatology. The British Society of Rheumatology, which has been accredited by the National Institute for Health and Care Excellence for guideline publication, recently updated their guideline for GCA. The previous version dated from 2010 was published before the routine use of ultrasound in GCA diagnosis and the advent of targeted immunotherapy treatment. The guideline group, including patients, methodologists and clinical experts in GCA, chose population, intervention comparator, and outcome questions to structure the systemic literature reviews. There were three broad reviews covering diagnostic imaging tests, management strategies and prognostic outcomes. The quality of evidence was assessed set out by Grading of Recommendations Assessment, Development and Evaluation methodology to underpin their recommendations.1 2 This article aims to highlight that neurologists require close liaison with rheumatology to serve patients with GCA best and may need to change their practice in light of these guidelines. ### Recommendations for referral Those suspected of having GCA should be assessed by a specialist, usually a rheumatologist, ideally on the same working day (where possible), and in all cases within …

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英国风湿病学会巨细胞动脉炎诊治指南

巨细胞动脉炎 (GCA) 由于其早期的非特异性初始症状而出现在所有专业中。由于新发头痛是颅脑 GCA 的主要症状之一，因此神经科医生经常独立于风湿病学评估（甚至可能管理）患有这种疾病的人。英国风湿病学会最近更新了他们的 GCA 指南，该协会已获得国家健康与护理卓越研究所的指南出版认证。2010 年之前的版本是在超声在 GCA 诊断中常规使用和靶向免疫治疗出现之前发布的。指南小组，包括 GCA 的患者、方法学家和临床专家，选择了人群、干预比较和结果问题来构建系统性文献综述。进行了三项广泛的审查，涵盖诊断成像测试、管理策略和预后结果。证据质量由推荐分级评估、制定和评估方法进行评估，以支持他们的建议。 1 2 本文旨在强调神经科医生需要与风湿病学密切联系才能为 GCA 患者提供最好的服务，并且可能需要改变他们的做法根据这些准则。### 转诊建议 怀疑患有 GCA 的人应由专家进行评估，通常是风湿病专家，最好在同一工作日（如果可能）进行评估，并且在所有情况下都在…… 制定和评估方法以支持他们的建议。1 2 本文旨在强调神经科医生需要与风湿病学密切联系才能为 GCA 患者提供最佳服务，并且可能需要根据这些指南改变他们的做法。### 转诊建议 怀疑患有 GCA 的人应由专家进行评估，通常是风湿病专家，最好在同一工作日（如果可能）进行评估，并且在所有情况下都在…… 制定和评估方法以支持他们的建议。1 2 本文旨在强调神经科医生需要与风湿病学密切联系才能为 GCA 患者提供最佳服务，并且可能需要根据这些指南改变他们的做法。### 转诊建议 怀疑患有 GCA 的人应由专家进行评估，通常是风湿病专家，最好在同一工作日（如果可能）进行评估，并且在所有情况下都在……