|
|
| (33 intermediate revisions by 7 users not shown) |
| Line 1: |
Line 1: |
| ==Background==
| | #REDIRECT[[Giant cell arteritis]] |
| *Giant cell arteritis
| |
| *Systemic vasculitis involving medium-sized arteries in the carotid circulation
| |
| *Women
| |
| *50-70 yrs typically
| |
| *Can cause painless, ischemic optic neuropathy w/ severe vision loss if left untreated
| |
| *Assoc w/ polymyalgia rheumatica (30-40%)<ref> Lehrmann JF, Sercombe CT: Systemic Lupus Erythmatosus and the Vasculitides, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 7. St. Louis, Mosby, Inc., 2010, (Ch) 116: p 1497-1510.</ref>
| |
| | |
| ==Clinical Features==
| |
| *Fever
| |
| Headache
| |
| *Jaw claudication
| |
| **Weight Loss
| |
| *Myalgias
| |
| *Visual loss in one eye
| |
| | |
| ==Differential Diagnosis==
| |
| ===[[Headache]]===
| |
| {{Headache DDX}}
| |
| | |
| ===Noninflamed Vision Loss===
| |
| {{Acute vision loss noninflamed DDX}}
| |
| | |
| ==Diagnosis==
| |
| *Temporal artery tenderness
| |
| *Afferent pupillary defect
| |
| *ESR ~70-110
| |
| *CRP elevated
| |
| | |
| ==Treatment==
| |
| *Methylprednisolone 1000mg IV QD x3d
| |
| *Needs Temporal Artery Bx
| |
| | |
| ==See Also==
| |
| *[[Headache]]
| |
| | |
| ==Source==
| |
| *Tintinalli
| |
| | |
| [[Category:Ophtho]]
| |
| [[Category:Neuro]]
| |
| [[Category:Rheum]]
| |
