Rheumatology Question 8 Instructor

What are the symptoms of giant cell arteritis (temporal arteritis)?

GCA symptoms are variable and may include any of the following.

  1. New onset headache (occurs in two-thirds of patients)
  2. Constitutional symptoms
  3. Jaw claudication
  4. Tongue claudication
  5. Scalp tenderness
  6. Arm claudication
  7. Visual disturbance including amaurosis fugax, diplopia or permanent vision loss.
  8. Symptoms of polymyalgia rheumatica (including aching of the shoulder or hip girdle)

A markedly elevated ESR is usually seen, although giant cell arteritis is occasionally seen in patients with a normal ESR. Frequency of PMR and GCA increase with age and the conditions are essentially not seen in individuals under 50 years of age.


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