temporal arteritis Flashcards
1
Q
task
A
473
2
Q
explanation
A
-it is also called giant cell arteritis
-collagen disease causing inflammation of extracranial vessels, but can also cause inflammation intracranial vessels ophthalmic artery/post ciliary artery causing optic atrophy and blindness
-vision impaired at some stage, if not treated damage is irreversible
3
Q
ix
A
-ESR, CRP>FOLLOWED BY temporal artery biopsy(decide on steroid because long term steroid therapy)
-MRI is also highly specific and sensitive
4
Q
tx
A
urgent referral to surgeon for bx and ophthalmologist
-prednisolone 1mg/kg daily for 1/12>should be reviewed after 48hrs
-may take 2-3 years to resolve
-tail off depending on crp and esr values if declining reduce dose>then continue for 1-2 years
-with h2 receptor blocker
