GCA PMR

Question 1

GCA P

Answer 1

Autoimmune
TEmpora artery infalmmation
GRanuloma and multinucleated giant cells

Question 2

GCA A

Answer 2

Polymyalgia rheumatica
Female
>50

Question 3

GCA CF

Answer 3

Temporal headache
Jaw claudication
Scalp tenderness
Tender swollen hardened temporal artery - loss of pulsation
Amaurosis fugax - transient monocular vision loss (ophthalmic artery)
Vision loss

PMR: Fever, fatigue weight loss, muscle ache

Question 4

GCA Ix

Answer 4

ESR raised
Anaemia
Thrombocytosis

Temporal artery biospy - may show skip lesions, intermittent inflammation

Question 5

GCA Mx

Answer 5

High dose IV methylpregnisolone
Oral prednisolone
Tapering regimen

Bisphosphonate bone protection

Question 6

PMR P

Answer 6

Inflammatory condition:

Muscular pain and stiffness in shoulder and pelvic girdle

Question 7

PMA A

Answer 7

> 50
Female
GCA

Question 8

PMA CF

Answer 8

Bilateral shoulder or thigh muscle aching pain for > 1 month
Morning stiffness
Fever
Weight loss
GCA
Malaise

Question 9

PMA Ix

Answer 9

Raised CRP/ESR
Serum protein electrophoresis to exclude myeloma
TFT for thyroid disease
TAB if GCA

Question 10

Mx

Answer 10

Oral prednisolone daily
Tapering regimen
Bisphosphonate
PPI