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• W4382045294 abstract "We thank Mark Hughes and colleagues for their interest in our Comment. 1 Gill T Putman M Sattui S et al. Giant cell arteritis can occur in people of colour. Lancet Rheumatol. 2023; 5: e175-e177 Summary Full Text Full Text PDF Scopus (2) Google Scholar We value their intention of minimising harm related to missed alternative diagnoses and glucocorticoid-related adverse events, although this applies to all races. We respectfully disagree with their statement that race should be incorporated in clinical assessment, as the impact of missed giant cell arteritis diagnosis could be devastating. Our supplementary evidence table described multiple supportive cohort studies. Since our publication, reanalysis 2 Sun E Li X Gruener AM Chang JR Henderson AD Carey AR Baseline characteristics and clinical presentation of biopsy-proven giant cell arteritis in White compared with Black patients. J Neuroophthalmol. 2023; (published online March 2.)https://doi.org/10.1097/WNO.0000000000001817 Crossref Google Scholar of the Gruener and colleagues 3 Gruener AM Poostchi A Carey AR et al. Association of giant cell arteritis with race. JAMA Ophthalmol. 2019; 137: 1175-1179 Crossref PubMed Scopus (12) Google Scholar study (which showed that giant cell arteritis might occur at similar rates in White and Black patients) has shown that clinical presentation is also similar in these groups. Specifically, there were no significant differences in biopsy classification (active vs healed arteritis) and visual or ophthalmic findings between White and Black patients. 2 Sun E Li X Gruener AM Chang JR Henderson AD Carey AR Baseline characteristics and clinical presentation of biopsy-proven giant cell arteritis in White compared with Black patients. J Neuroophthalmol. 2023; (published online March 2.)https://doi.org/10.1097/WNO.0000000000001817 Crossref Google Scholar Giant cell arteritis can occur in people of colourGiant cell arteritis is the most common form of systemic vasculitis in individuals aged 50 years or more and is considered a medical emergency. Urgent diagnosis and initiation of treatment are crucial to prevent the serious potential sequalae of permanent visual loss and vascular complications. Giant cell arteritis can present with non-specific symptoms and although fast-track investigative pathways can improve patient outcomes, cognitive biases might confound patient selection and interpretation of results, especially if there is diagnostic ambiguity. Full-Text PDF Should race be considered in diagnosing giant cell arteritis?We read with interest the Comment by Tiara Gill and colleagues.1 We feel the authors make a good argument not to dismiss the possibility of giant cell arteritis on the basis of race alone. However, we would respectfully disagree with their proposal that “race should not influence diagnostic decision making in giant cell arteritis”.1 Full-Text PDF" @default.
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• W4382045294 date "2023-07-01" @default.
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• W4382045294 title "Should race be considered in diagnosing giant cell arteritis? – Authors' reply" @default.
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• W4382045294 doi "https://doi.org/10.1016/s2665-9913(23)00156-x" @default.
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