Version June 2024
| Considerations when applying these criteria | |
| |
| Absolute requirements | |
| Age ≤60 years at time of diagnosis | |
| Evidence of vasculitis on imaging* | |
| Additional clinical criteria | |
| Female sex | +1 |
| Angina or ischemic cardiac pain | +2 |
| Arm or leg claudication | +2 |
| Vascular bruit¶ | +2 |
| Reduced pulse in upper extremityΔ | +2 |
| Carotid artery abnormality◊ | +2 |
| Systolic blood pressure difference in arms ≥20 mmHg | +1 |
| Additional imaging criteria | |
| Number of affected arterial territories (select one)§ | |
| +1 |
| +2 |
| +3 |
| Symmetric involvement of paired arteries¥ | +1 |
| Abdominal aorta involvement with renal or mesenteric involvement‡ | +3 |
* Evidence of vasculitis in the aorta or branch arteries must be confirmed by vascular imaging (eg, computed tomographic/catheter-based/magnetic resonance angiography, ultrasound, positron emission tomography).
¶ Bruit detected by auscultation of a large artery, including the aorta, carotid, subclavian, axillary, brachial, renal, or iliofemoral arteries.
Δ Reduction or absence of pulse by physical examination of the axillary, brachial, or radial arteries.
◊ Reduction or absence of pulse of the carotid artery or tenderness of the carotid artery.
§ Number of arterial territories with luminal damage (eg, stenosis, occlusion, or aneurysm) detected by angiography or ultrasonography from the following 9 territories: thoracic aorta, abdominal aorta, mesenteric, left or right carotid, left or right subclavian, left or right renal arteries.
¥ Bilateral luminal damage (stenosis, occlusion, or aneurysm) detected by angiography or ultrasonography in any of the following paired vascular territories: carotid, subclavian, or renal arteries.
‡ Luminal damage (stenosis, occlusion, aneurysm) detected by angiography or ultrasonography involving the abdominal aorta and either the renal or mesenteric arteries.آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
