Temporal arteritis natural history, complications and prognosis

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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.[15,19](uptodate)
  • 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 temporal arteritis include:[47][48, 49, 19]
    • Blindness
    • Aortic aneurysm
    • Stroke
    • Death
    • Side effects from steroid or immune-suppressing medications

Prognosis

  • Prognosis is generally 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.

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.

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