Arteritis, Temporal

Cynthia M. Waickus, MD, PhD Reviewed 06/2017
 


BASICS

DESCRIPTION

  • Technically termed giant cell arteritis (GCA)

  • A chronic, generalized, cellular, and humoral immune-mediated vasculitis of large- and medium-sized vessels, predominantly affecting the ...

DIAGNOSIS

HISTORY

  • Most common presenting symptom is headache (2/3 of patients).

  • Constitutional symptoms (fever, fatigue, weight loss)

  • Any visual disturbances (amaurosis fugax, diplopia)

  • Vision loss (20% o...

TREATMENT

MEDICATION

First Line

Glucocorticoids: 
  • Prolonged treatment with glucocorticoids has been the mainstay of treatment and should be initiated immediately when the diagnostic suspicion for GCA is ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Sun avoidance and protection of the head and the face from photodamage may eventually prove to be important preventive measures for TA. 

Patient Monitoring

  • TA is ty...

REFERENCES

Robson  JC, Kiran  A, Maskell  J, et al. The relative risk of aortic aneurysm in patients with giant cell arteritis compared with the general population of the UK. Ann Rheum Dis.  201...

ADDITIONAL READING

Mukhtyar C, Guillevin L, Cid MC, et al. EULAR recommendations for the management of large vessel vasculitis. Ann Rheum Dis.  2009;68(3):318–323.  

SEE ALSO

Depression; Fibromyalgia; Headache, Cluster; Headache, Tension; Polymyalgia Rheumatica; Polymyositis/Dermatomyositis 

CODES

ICD10

  • M31.6 Other giant cell arteritis

  • M31.5 Giant cell arteritis with polymyalgia rheumatica

ICD9

  • 446.5 Giant cell arteritis

SNOMED

  • 400130008 Temporal arteritis (disorder)

  • 414341000 giant cell arterit...

CLINICAL PEARLS

  • Due to the risk of irreversible vision loss, treatment with high-dose steroids (prednisone 60 mg/day) should be started immediately in patients suspected of TA.

  • Temporal artery biopsy i...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×