Giant cell arteritis is rarely reported in people aged less than 50 years. We report a case of giant cell arteritis in a woman who developed symptoms of dizziness, headache, bilateral sensorineural hearing impairment, and had 1 episode of transient left hemiparesis before the age of 30. Carotid angiography showed multiple segmental narrowing in cranial vessels. Subsequently, at the age of 31, s...

Polymyalgia rheumatica is a clinical syndrome affecting middle-aged and elderly persons and is characterized by periarthritic and muscular pain and stiffness particularly in the shoulder and hip girdles. Systemic symptoms are present, the erythrocyte sedimentation rate (E.S.R.) is greatly elevated, and the Waaler-Rose test is almost invariably negative. Suppression of symptoms with corticostero...

Giant cell arteritis may occasionally affect the aorta and larger pulmonary arteries. This can be part of a systemic disease such as necrotising sarcoid granulomatosis or systemic lupus erythematosus, but may also be due to specific conditions, particularly disseminated temporal arteritis (giant cell arteritis). When the pulmonary arteries alone are affected they are usually medium sized and af...

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...

Giant cell arteritis is a granulomatous vasculitis characterized by medium or large sized vessel involvement. Although extracranial branches of the carotid artery are typically involved, involvement of aorta and its major branches can also be seen. Cardiac involvement has been encountered less frequently and pericardial effusion is rarely encountered. In this paper, a case has been presented in...

Giant cell arteritis is the most common vasculitis in Caucasians. Acute visual loss in one or both eyes is by far the most feared and irreversible complication of giant cell arteritis. This article reviews recent guidelines on early recognition of systemic, cranial, and ophthalmic manifestations, and current management and diagnostic strategies and advances in imaging. We share our experience o...