Large vessel vasculitides

Question 1

Clinical presentation of temporal arteritis (giant cell arteritis):

Answer 1

• tenderness along temporal artery
• loss of pulses
• headache
• jaw claudication
• fevers, associated PMR, visual changes

Question 2

Labs for temporal arteritis:

Answer 2

elevated ESR, CRP

• temporal artery biopsy

Question 3

Tx of temporal arteritis:

Answer 3

Aspirin and systemic steroids

Question 4

Takayasus arteritis affects which vessels?

Answer 4

aorta or its main branches

Question 5

Presentation of Takayasu’s arteritis:

Answer 5

• decreased radial pulses and difference in BP>10 between arms
• constitutional sx
• skin changes: purpura, EN, raynauds, erythematous papule