Giant cell arteritis: Difference between revisions
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===Management=== | ===Management=== | ||
Give 'em [[steroids]]! About a bucket full IV. | |||
===Prognosis=== | ===Prognosis=== |
Revision as of 19:12, 7 December 2009
Definition
Giant Cell arteritis, or Temporal arteritis, is an inflammation of the giant cells in the wall of the temporal artery (in the temples).
Epidemiology
Pretty rare, but also VERY important. It affects the over 50s, most commonly in 75+, most often in women.
Pathophysiology
Giant cell arteritis is a type of vasculitis, an inflammation of blood vessels. Linked to other autoimmune conditions such as lupus and rheumatoid arthritis. It is serious because the inflammation of the arteries can occlude blood supply, and it can affect the aorta, and cause blindness. It is a medical emergency!
Clinical Features
Commonly presents with headache, coming on over a few days.
- There may be some tenderness on the side of the head.
- Accompanied with fever.
- There may also be blurred or lost vision.
Investigations
Examination
- Look for enlarged of temporal arteries.
- Tenderness on side of head.
- Reduced pulses, or fundal ischaemia are pretty key too!
Management
Give 'em steroids! About a bucket full IV.