Temporal arteritis natural history, complications and prognosis
Temporal Arteritis Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of temporal arteritis usually develop in the fifth decade of life, and start with symptoms such as headache.
- Nervous system is affected in 30% of the patients of temporal arteritis; 14% have either mononeuritis or polyneuropathy, and 7% have transient ischemic attacks or strokes.[46]
- If left untreated, 2% of patients with temporal arteritis may lead to death by MI or stroke.[50]
Complications
- Common complications of [disease name] include:
- [Complication 1]
- [Complication 2]
- [Complication 3]
Prognosis
- Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
- Depending on the extent of the [tumor/disease progression/etc.] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
- The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
- [Subtype of disease/malignancy] is associated with the most favorable prognosis.
Complications
Possible complications, especially if the condition is not treated properly or promptly, include:
- Damage to other blood vessels in the body
- Development of aneurysms (ballooning of blood vessels) in patients with giant cell arteritis
- Aortitis
- Sudden vision loss or eye muscle weakness
- TIA or stroke
Side effects from steroid or immune-suppressing medications may also occur.
Prognosis
Most people make a full recovery, but long-term treatment (for 1 to 2 years or longer) may be needed. The condition may return at a later date.