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Ultrasound (US) scanning in the diagnosis of large vessel giant cell arteritis (LV-GCA) is becoming more prevalent, with the advantage of being non-invasive and free of ionising radiation.1 The recent European League against Rheumatism (EULAR) recommendations suggest that US should be the first-line investigation for cases of suspected GCA where adequate equipment and expertise is available.2 3 US is also having a more prominent role in disease monitoring. Biologics such as Tocilizumab have now been approved to treat relapsing and refractory LV-GCA; however, it has been noted that while Tocilizumab may suppress serum inflammatory markers (ie, C reactive protein and erythrocyte sedimentation rate (ESR)) it may underestimate on-going vessel wall disease activity.4 Consequently, the use of US …
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