Temporal arteritis

Some notes:

Not everyone gets headache. 4% of sufferers have a normal ESR. Biopsy can show false negatives.

Constitutional symptoms (fever, sweats, weight loss/anorexia, fatigue) are common; but do consider other causes (infection, malignancy).

Visual symptoms can affect part of the visual field rather than all of it; check fields. It can cause scotomata or diplopia.

Ultrasound is often diagnostic, which can reduce the number of biopsies needed.

Aspirin has been shown to reduce risk of neurovascular complications.

(BMJ article)

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About Dr Sarah

I'm a GP with a husband and two young children.
This entry was posted in Credits 2019, Don't miss, Rheumatology. Bookmark the permalink.

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