I39. MANAGEMENT OF GIANT CELL ARTERITIS

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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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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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Giant cell arteritis

Giant cell arteritis (GCA), temporal arteritis or Horton’s arteritis, is a systemic vasculitis which involves large and medium sized vessels, especially the extracranial branches of the carotid arteries, in persons usually older than 50 years. Permanent visual loss, ischaemic strokes, and thoracic and abdominal aortic aneurysms are feared complications of GCA. The treatment consists of high dos...

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Giant cell arteritis.

Permanent, severe loss of vision is a feared complication; however, it is not the sole possible devastating outcome of giant cell arteritis. Myocardial infarction, ischemic stroke and limb gangrene may also occur. Thor acic aortic aneurysms are seen over 17 times more often in patients with giant cell arteritis than in age-matched controls. The optimal work-up includes erythrocyte sedimentation...

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ژورنال

عنوان ژورنال: Rheumatology

سال: 2017

ISSN: 1462-0324,1462-0332

DOI: 10.1093/rheumatology/kex060.039