139. Audit on the Management of Giant Cell Arteritis

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Audit of the management of suspected giant cell arteritis in a large teaching hospital.

BACKGROUND The diagnosis of giant cell arteritis (GCA) is often confirmed by an early temporal artery (TA) biopsy of adequate length. Treatment of this condition with high-dose corticosteroids may be associated with significant morbidity, including osteoporosis. AIM To audit current management of patients with suspected GCA at Auckland Healthcare, a large teaching hospital. METHODS We perfo...

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Diagnosis and management of giant cell arteritis.

British Journal ofGeneral Practice, June 2012 329 INTRODUCTION Giant cell arteritis (GCA) is the commonest form of large-vessel vasculitis and affects branches of the external carotid artery but also the ciliary and retinal arteries. The symptoms are caused by local ischaemia due to endovascular damage and cytokinemediated systemic illness. There is considerable overlap with polymyalgia rheumat...

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Temporal artery biopsy for giant cell arteritis: retrospective audit

OBJECTIVES Temporal artery biopsy (TAB) is performed in suspected cases of sight-threatening giant cell arteritis (GCA). We aimed to determine the feasibility of TAB in patients who are suspected of having GCA. DESIGN, SETTING AND PARTICIPANTS A retrospective audit of all patients undergoing TAB at a single teaching hospital between 2005 and 2011, identified from the histopathology database. ...

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Steroid management in giant cell arteritis.

AIM Ocular involvement in giant cell arteritis (GCA) is an ophthalmic emergency which, if untreated, can progress to permanent blindness. There is little evidence in the literature to support current protocols for the acute treatment of GCA with steroids. The authors sought to review the effects of intravenous and oral steroids in GCA. METHODS This retrospective study reviewed the records of ...

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Giant cell arteritis: diagnosis and management.

Giant cell arteritis should not be a diagnosis of exclusion, an afterthought, or a last thought. There is urgency to establishing this diagnosis and initiating therapy. All practitioners who treat adults will be confronted with these patients. Some will have classic presentations, some will have subtle presentations. When patients complain of fever, fatigue, malaise, weight loss, or painless vi...

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ژورنال

عنوان ژورنال: Rheumatology

سال: 2014

ISSN: 1462-0332,1462-0324

DOI: 10.1093/rheumatology/keu105.015