Temporal Arteritis Flashcards
1
Q
Definition
A
Large vessel vasculitis which overlaps with polymyalgia rheumatica
2
Q
Histology
A
Pathological changes that skip certain sections of arteries whilst damaging others
3
Q
Features
A
Patient > 60 yrs Rapid onset (< 1 month)
- Headache
- Jaw claudication
- Visual distubrances (anterior ischaemic optic neuropathy)
- Tender, palpable temporal artery
4
Q
PMR Features
A
- Aching, morning stiffness in proximal limb muscles
- Lethargy
- Depression
- Low grade fver
- Anorexia
- Night sweats
5
Q
Investigations
A
- Raised inflammatory markers = ESR+++
- Temporal artery biopsy
6
Q
Management
A
High dose PREDNISOLONE
-Urgent ophthalmology review
