Table 1

Clinical, laboratory and US findings of patients referred to the fast-track clinic for suspected GCA before and after lockdown

Total
n=81
8-month period previous to lockdown (July 2019–February 2020) n=508-month period after lockdown (March 2020–October 2020) n=31P value
Age (years), mean (SD)74.1 (11.2)75 (10.8)72.7 (11.8)0.394
Female, n (%)25 (30.9)18 (36)7 (22.6)0.204
Baseline use of steroids, n (%)37 (46.3)26 (53.1)11 (35.5)0.124
Temporal artery biopsy positive (n=16), n (%)5 (31.3)1 (11.1)4 (57.1)0.049
18F-FDG-PET/CT positive (n=23), n (%)10 (43.5)3 (33.3)7 (50)0.669
Fulfilling 1990 GCA criteria, n (%)18 (22.2)10 (20)8 (25.8)0.541
PMR diagnosis before US examination, n (%)27 (33.3)20 (40)7 (22.6)0.106
Headache, n (%)35 (43.2)26 (52)9 (29)0.043
Scalp tenderness, n (%)5 (6.2)4 (8)1 (3.2)0.386
Jaw claudication, n (%)12 (14.8)7 (14)5 (16.1)0.793
Visual symptoms, n (%)14 (17.3)8 (16)6 (19.1)0.698
Fever, n (%)10 (12.3)5 (10)5 (16.1)0.415
Myalgias, n (%)40 (49.4)24 (48)16 (51.6)0.752
AION, n (%)2 (2.5)0 (0)2 (6.5)0.14
Abnormal TA clinical examination, n (%)5 (6.2)4 (8)1 (3.2)0.386
CRP (mg/dL), mean (SD)5 (6.2)3.4 (5.1)7.6 (7.1)0.008
ESR (mm/hour), mean (SD)56.2 (34.7)45.7 (30.5)73.9 (34.5)0.002
Haemoglobin (g/dL), mean (SD)12.5 (1.8)12.8 (1.6)11.7 (1.9)0.019
Platelets 109/L, mean (SD)283.8 (113.7)254.1 (91.3)342.1 (131.6)0.001
Positive US findings, n (%)23 (28.4)11 (22)12 (38.7)0.115
 Temporal artery positive US findings, n (%)15 (18.5)8 (16)7 (22.6)0.459
 Axillary or subclavian positive US findings, n (%)13 (16)6 (12)7 (22.6)0.207
 Temporal artery+axillary or subclavian positive US findings, n (%)5 (6.2)3 (6)2 (6.5)0.935
 Halo sign positive, n (%)20 (24.7)8 (16)12 (38.7)0.021
 Compression sign positive, n (%)13 (16)5 (10)8 (25.8)0.06
GCA clinical diagnosis, n (%)25 (30.9)11 (22)14 (45.2)0.028
  • AION, anterior ischaemic optic neuropathy; CRP, C reactive protein; ESR, erythrocyte sedimentation rate; FDG, fluorodeoxyglucose; GCA, giant cell arteritis; PET, positron emission tomography; PMR, polymyalgia rheumatica; TA, Temporal artery; US, ultrasound.