Temporal arteritis history and symptoms
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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.
Symptoms
Patients present with:
- Fever
- Headache
- Tenderness and sensitivity on the scalp
- Jaw claudication (pain in jaw when chewing)
- Reduced visual acuity (blurred vision)
- Acute visual loss (sudden blindness)
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.
References
- ↑ Hayreh (April 3, 2003). "Ocular Manifestations of GCA". Retrieved 2007-10-15. Text "publisher University of Iowa Health Care " ignored (help)