Temporal arteritis: Difference between revisions
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==Background== | ==Background== | ||
*Systemic vasculitis involving medium-sized arteries in the carotid circulation | *Systemic vasculitis involving medium-sized arteries in the carotid circulation | ||
*Pts >50yr | |||
*Can cause painless, ischemic optic neuropathy w/ severe vision loss if left untreated | *Can cause painless, ischemic optic neuropathy w/ severe vision loss if left untreated | ||
* | *Assoc w/ polymyalgia rheumatica | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 19:32, 28 February 2012
Background
- Systemic vasculitis involving medium-sized arteries in the carotid circulation
- Pts >50yr
- Can cause painless, ischemic optic neuropathy w/ severe vision loss if left untreated
- Assoc w/ polymyalgia rheumatica
Clinical Features
- Headache
- Jaw claudication
- Myalgias
- Fever
Diagnosis
- Temporal artery tenderness
- Afferent pupillary defect
- ESR ~70-110
- CRP elevated
Treatment
- Methylprednisolone 1000mg IV QD x3d
Source
Tintinalli