Question: What Mimics Temporal Arteritis?

Is temporal arteritis an autoimmune disease?

It’s an autoimmune disease.

That means your immune system mistakenly attacks your body’s healthy tissues.

In giant cell arteritis, immune cells react against blood vessels and make them inflamed..

What is the most feared complication of giant cell arteritis?

Ischemic optic neuropathy (ION) is the most feared complication of giant cell arteritis (GCA).

How long can you live with temporal arteritis?

The median survival time for the 44 GCA cases was 1,357 days (3.71 years) after diagnosis compared with 3,044 days (8.34 years) for the 4,400 controls (p = 0.04). Five-year cumulative survival was 67% for the control group versus 35% for the cases (p < .

Does ibuprofen help temporal arteritis?

Non-steroid anti-inflammatory drugs such as aspirin, ibuprofen and many others are helpful in treating the pain during acute attacks. Aspiration of the inflamed joint and injection of a steroid in the joint may be recommended in serious cases. Write to Dr.

Can you feel temporal artery?

The superficial temporal artery is a blood vessel close to the skin than can be felt in both temples (located on either side of the forehead) and is pictured below.

How do you rule out temporal arteritis?

The best way to confirm a diagnosis of giant cell arteritis is by taking a small sample (biopsy) of the temporal artery. This artery is situated close to the skin just in front of your ears and continues up to your scalp.

Is dizziness a symptom of temporal arteritis?

Symptoms of Giant Cell Arteritis Jaw pain or facial, tongue, or throat pain is possible but less common. It’s also possible to experience dizziness or problems with balance. Giant cell arteritis can affect the blood supply to the eye causing blurred vision, double vision, or blindness.

Does temporal arteritis come on suddenly?

Giant cell arteritis can begin suddenly or gradually with nonspecific symptoms such as malaise, weight loss, depression, and fatigue or with the classic symptoms of headache, scalp tenderness, jaw claudication, visual changes, or polymyalgia rheumatica.

Why do my temples hurt when I touch them?

If the throbbing pain in your temples becomes a constant headache and it’s painful to touch your temples, you may have temporal arteritis. This condition — also called cranial arteritis and giant-cell arteritis — is caused by inflammation of the temporal arteries.

Does aspirin help temporal arteritis?

A different drug needs to be found to treat this condition to reduce the risk of blindness, other complications and treatment-related side effects. Aspirin has been shown to have beneficial effects on the type of inflammation that causes damage in GCA and could therefore help to reduce disease-related complications.

Can an eye test detect temporal arteritis?

The doctor will strongly suspect giant cell arteritis if the person is aged 65 years or more. Physical examination – for example, the doctor may look for alopecia, scalp lesions, tenderness and a reduced pulse in the temporal arteries. Eye examination – if the eye is affected, the optic disc looks pale and puffy.

What does a GCA headache feel like?

The headache is usually throbbing and continuous. Other descriptions of the pain include dull, boring, and burning. Focal tenderness on direct palpation is typically present. The patient may note scalp tenderness with hair combing, or with wearing a hat or eyeglasses.

How high is ESR in temporal arteritis?

Laboratory Studies 2 The ESR value most often used to define this elevation is 40 mm per hour. 2 An ESR of greater than 100 mm per hour is common in temporal arteritis.

What causes bulging veins in temple area?

Bulging veins, particularly on your face, are often no cause for concern. They’re typically seen on the front of your forehead or on the sides of your face by your temples. While they can often be associated with age, protruding forehead veins can be a sign of pressure or stress. Bulging forehead veins are common.

What mimics giant cell arteritis?

Other clinical mimics of GCA with abnormal biopsies include polyarteritis nodosum, GPA, eosinophilic granulomatosis, mantle cell lymphoma, skull metastasis and epithelioid haemangioma. Histopathologically the vasculitides have much in common and there is much variation even amongst patients with GCA.

What is the difference between temporal arteritis and giant cell arteritis?

Giant cell arteritis is an inflammation of the lining of your arteries. Most often, it affects the arteries in your head, especially those in your temples. For this reason, giant cell arteritis is sometimes called temporal arteritis.

What causes temporal arteritis?

What causes temporal arteritis? The causes of temporal arteritis are poorly understood. There is no well-established trigger or risk factors. One cause may be a faulty immune response; i.e., the body’s immune system may “attack” the body.

How quickly does prednisone work for temporal arteritis?

Symptoms and signs of GCA usually respond quickly, permitting a taper of the prednisone dose to 50 mg/day after two weeks and to 40 mg/day after another two weeks.