The diagnosis and management of temporal arteritis
- PMID: 31663193
- DOI: 10.1111/cxo.12975
The diagnosis and management of temporal arteritis
Abstract
Temporal arteritis (TA), or giant cell arteritis, is a systemic autoimmune vasculitis affecting patients over 50 years of age. It can cause rapid, irreversible bilateral vision loss in older adults and is therefore considered an ophthalmological emergency. Many of the symptoms and signs of TA can be vague, non-specific and gradual in onset, often leading to a delayed or inaccurate diagnosis. As such, it is important for a wide variety of primary optometrists and health practitioners to maintain a robust understanding of the clinical presentation, key investigations and time-sensitive management of this disease, as early initiation of treatment for TA can be vision- and life-saving.
Keywords: arteritic anterior ischaemic optic neuropathy; giant cell arteritis; polymyalgia rheumatica; temporal arteritis; temporal artery biopsy.
© 2019 Optometry Australia.
References
REFERENCES
-
- Dejaco C, Brouwer E, Mason JC et al. Giant cell arteritis and polymyalgia rheumatica: current challenges and opportunities. Nat Rev Rheumatol 2017; 13: 578-592.
-
- Gonzalez-Gay MA, Vazquez-Rodriguez TR, Lopez-Diaz MJ et al. Epidemiology of giant cell arteritis and polymyalgia rheumatica. Arthritis Rheum 2009; 61: 1454-1461.
-
- Miller NR. Visual manifestations of temporal arteritis. Rheum Dis Clin North Am 2001; 27: 781-797.
-
- Hayreh SS, Podhajsky PA, Zimmerman B. Ocular manifestations of giant cell arteritis. Am J Ophthalmol 1998; 125: 509-520.
-
- Nuenninghoff DM, Hunder GG, Christianson TJ et al. Incidence and predictors of large-artery complication (aortic aneurysm, aortic dissection, and/or large-artery stenosis) in patients with giant cell arteritis: a population-based study over 50 years. Arthritis Rheum 2003; 48: 3522-3531.
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