Temporal arteritis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]

Overview

The majority of patients with [disease name] are asymptomatic.

OR

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History and Symptoms

  • This diagnosis should be considered in any patient over the age of 50 with the new onset of headache, particularly if the erythrocyte sedimentation rate is elevated.
  • The majority of patients with [disease name] are asymptomatic.

OR

  • The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
  • Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. 

History

Patients with [disease name]] may have a positive history of:

  • [History finding 1]
  • [History finding 2]
  • [History finding 3]

Common Symptoms

Patients present with:[52]

  • Excessive sweating
  • Fever
  • General ill feeling
  • Jaw pain that comes and goes or occurs when chewing
  • Loss of appetite
  • Muscle aches
  • Pain and stiffness in the neck, upper arms, shoulder, and hips
  • Throbbing headache on one side of the head or the back of the head
  • Scalp sensitivity, tenderness when touching the scalp
  • Vision difficulties
    • Blurred vision
    • Double vision
    • Reduced vision (blindness in one or both eyes)
  • Weakness, excessive tiredness
  • Weight loss (more than 5% of total body weight)

The inflammation may affect blood supply to the eye and blurred vision or sudden blindness may occur. In 76% of cases involving the eye, the ophthalmic artery is involved causing anterior ischemic optic neuropathy.[1] Loss of vision in both eyes may occur very abruptly and this disease is therefore a medical emergency.

About 40% of people will have other, nonspecific symptoms such as respiratory complaints (most frequently dry cough) or weakness or pain along many nerve areas. Rarely, paralysis of eye muscles may occur. A persistent fever may be the only symptom.

Less Common Symptoms

Other symptoms that may occur with this disease:

References

  1. Hayreh (April 3, 2003). "Ocular Manifestations of GCA". Retrieved 2007-10-15. Text "publisher University of Iowa Health Care " ignored (help)


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