vasculitis Flashcards
(4 cards)
1
Q
what size vessels does temporal arteritis affect
A
medium and large
2
Q
features of GCA
A
> 60 years old
usually rapid onset < 1 month
headache
jaw claudication
vision testing: anterior ischaemic optic neuropathy (swollen pale disc and blurred margins on fundoscopy)
amaurosis fugax
tender, palpable temporal artery
3
Q
investigations in GCA
A
raised inflammatory markers
temporal artery biopsy (skip lesions)
4
Q
treatment of GCA
A
urgent high dose glucocorticoids
- if evolving visual loss IV methylprednisolone instead of high dose prednisolone
