Temporal arteritis history and symptoms: Difference between revisions
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This diagnosis should be considered in any patient over the age of 50 with the new onset of [[headache]], particularly if the [[erythrocyte sedimentation rate]] is elevated. | This diagnosis should be considered in any patient over the age of 50 with the new onset of [[headache]], particularly if the [[erythrocyte sedimentation rate]] is elevated. | ||
==Symptoms== | ==Common Symptoms== | ||
Patients present with: | Patients present with: | ||
*Excessive sweating | *Excessive sweating | ||
*[[Fever]] | *[[Fever]] | ||
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*Weight loss (more than 5% of total body weight) | *Weight loss (more than 5% of total body weight) | ||
The inflammation may affect blood supply to the [[eye]] and [[blurred vision]] or sudden [[blindness]] may occur. In 76% of cases involving the eye, the [[ophthalmic artery]] is involved causing [[anterior ischemic optic neuropathy]].<ref>{{cite web |author=Hayreh |title=Ocular Manifestations of GCA |url=http://webeye.ophth.uiowa.edu/dept/GCA/04-ocular.htm |date=April 3, 2003 |publisher University of Iowa Health Care |accessdate=2007-10-15}}</ref> Loss of vision in both eyes may occur very abruptly and this disease is therefore a [[medical emergency]]. | |||
About 40% of people will have other, nonspecific symptoms such as respiratory complaints (most frequently dry [[cough]]) or weakness or pain along many [[nerve]] areas. Rarely, [[paralysis]] of eye muscles may occur. A persistent fever may be the only symptom. | |||
==Less Common Symptoms== | |||
Other symptoms that may occur with this disease: | Other symptoms that may occur with this disease: | ||
*Bleeding gums | *Bleeding gums | ||
*Face pain | *Face pain | ||
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*Joint pain | *Joint pain | ||
*Mouth sores | *Mouth sores | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
[[Category:Rheumatology]] | |||
[[Category:Ophthalmology]] | |||
[[Category:Neurology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Disease]] | |||
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{{WikiDoc Sources}} | |||
Revision as of 18:21, 6 November 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
History
This diagnosis should be considered in any patient over the age of 50 with the new onset of headache, particularly if the erythrocyte sedimentation rate is elevated.
Common Symptoms
Patients present with:
- Excessive sweating
- Fever
- General ill feeling
- Jaw pain that comes and goes or occurs when chewing
- Loss of appetite
- Muscle aches
- Pain and stiffness in the neck, upper arms, shoulder, and hips
- Throbbing headache on one side of the head or the back of the head
- Scalp sensitivity, tenderness when touching the scalp
- Vision difficulties
- Blurred vision
- Double vision
- Reduced vision (blindness in one or both eyes)
- Weakness, excessive tiredness
- Weight loss (more than 5% of total body weight)
The inflammation may affect blood supply to the eye and blurred vision or sudden blindness may occur. In 76% of cases involving the eye, the ophthalmic artery is involved causing anterior ischemic optic neuropathy.[1] Loss of vision in both eyes may occur very abruptly and this disease is therefore a medical emergency.
About 40% of people will have other, nonspecific symptoms such as respiratory complaints (most frequently dry cough) or weakness or pain along many nerve areas. Rarely, paralysis of eye muscles may occur. A persistent fever may be the only symptom.
Less Common Symptoms
Other symptoms that may occur with this disease:
- Bleeding gums
- Face pain
- Hearing loss
- Joint stiffness
- Joint pain
- Mouth sores
References
- ↑ Hayreh (April 3, 2003). "Ocular Manifestations of GCA". Retrieved 2007-10-15. Text "publisher University of Iowa Health Care " ignored (help)