Giant cell arteritis temporal or cranial arteritis l.jpg
This presentation is the property of its rightful owner.
Sponsored Links
1 / 7

GIANT CELL ARTERITIS (Temporal or Cranial Arteritis) PowerPoint PPT Presentation


  • 140 Views
  • Uploaded on
  • Presentation posted in: General

GIANT CELL ARTERITIS (Temporal or Cranial Arteritis). Idiopathic vasculitis Same disease spectrum as polymyalgia rheumatica Mainly women 65-80 years old Medium and large arteries in head & neck involved. Headache Scalp tenderness Thickened temporal arteries Jaw claudication

Download Presentation

GIANT CELL ARTERITIS (Temporal or Cranial Arteritis)

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Giant cell arteritis temporal or cranial arteritis l.jpg

GIANT CELL ARTERITIS(Temporal or Cranial Arteritis)

  • Idiopathic vasculitis

  • Same disease spectrum as polymyalgia rheumatica

  • Mainly women 65-80 years old

  • Medium and large arteries in head & neck involved


Giant cell arteritis presentation l.jpg

Headache

Scalp tenderness

Thickened temporal arteries

Jaw claudication

Acute visual loss

Weight loss, anorexia, fever, night sweats, malaise & depression

GIANT CELL ARTERITISPresentation


Giant cell arteritis ocular complications l.jpg

GIANT CELL ARTERITISOcular Complications

  • Transient monocular visual loss (amaurosis fugax)

  • Visual loss due to

    • Central retinal artery occlusion (CRAO) or

    • Anterior ischaemic optic neuropathy (AION)

  • Visual field defects


Giant cell arteritis management l.jpg

GIANT CELL ARTERITISManagement

  • ESR if suspected

  • Start high dose steroids immediately to prevent stroke or second eye involvement

  • Temporal artery biopsy within a week of starting steroids


Giant cell arteritis temporal artery biopsy l.jpg

GIANT CELL ARTERITIS Temporal Artery Biopsy

  • Arteries have skip lesions

  • ultrasound/Doppler may help identify involved areas

  • If positive, confirms diagnosis – helpful in management of future disease

  • If negative, doesn’t exclude diagnosis, but need to think about an alternative diagnosis


Giant cell arteritis histopathology l.jpg

GIANT CELL ARTERITISHistopathology

  • Granulomatous cell infiltration

  • Giant cells

  • Disruption of internal elastic lamina

  • Proliferation of intima

  • Occlusion of lumen


Giant cell arteritis treatment l.jpg

GIANT CELL ARTERITISTreatment

  • Intravenous and oral steroids – prolonged course of steroids often necessary


  • Login