7. Vasculitis

Question 1

Is vasculitits more common in males or females

Answer 1

F

Question 2

GCA sx

Answer 2

Temporal region headache, may have pelvic and shoulder girdle pain and stiffness, diplopia, blurring, visual loss, jaw claudication and systemic sx

Question 3

How to dx GCA

Answer 3

Raised ESR and CRP, TEMPORAL ARTERY BIOPSY
mild anaemia, -ve autoabs,
May also do USS

Question 4

MX of GCA

Answer 4

Predni 40-60mg, reduce gradually
Can give Tocilizumab or metho, aza
GIVE osteo proph with predni

Question 5

Sx of PMR

Answer 5

Proximal muscle pain and stiffness affecting shoulder and pelvic girdle

Question 6

Dx of PMR

Answer 6

Raised ESR and CRP, Ab -ve, muscle enzymes normal. Importantly, sx resolve within 3-4 days with predni