Temporal arteritis history and symptoms
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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
The majority of patients with [disease name] are asymptomatic.
OR
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History and Symptoms
- 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.
- The hallmark of temporal arteritis is a headache. The most common symptoms of temporal arteritis include headache, jaw claudication, and fatigue.
History
Patients with temporal arteritis may have a positive history of:[53, 54][55]
- Jaw claudication
- Headache
- Fatigue
- Neck, shoulder, pelvic girdle pain
Common Symptoms
Patients present with:[52]
- 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)