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Diagnosis of giant cell (temporal) arteritis

Author
Gene G Hunder, MD
Section Editors
Jonathan Trobe, MD
Eric L Matteson, MD, MPH
Deputy Editor
Monica Ramirez Curtis, MD, MPH

INTRODUCTION

Giant cell arteritis (GCA) is a chronic vasculitis of large- and medium-sized vessels. The mean age at diagnosis is approximately 72 years, and the disease essentially never occurs in individuals younger than 50 [1]. Among individuals older than 50, the prevalence of GCA has been estimated to be 1 in 500 individuals [2].

Although GCA is characteristically a systemic illness and although vascular involvement may be widespread, symptomatic blood vessel inflammation most frequently involves the cranial branches of the arteries that originate from the aortic arch. The most feared complication of GCA, visual loss, is one potential result of the cranial arteritis associated with this disease.

The diagnosis of GCA will be reviewed here. The pathogenesis, clinical manifestations, and treatment of this disorder are discussed separately. (See "Pathogenesis of giant cell (temporal) arteritis" and "Clinical manifestations of giant cell (temporal) arteritis" and "Treatment of giant cell (temporal) arteritis".)

DIAGNOSIS

The diagnosis of giant cell arteritis (GCA) should be considered in a patient over the age of 50 who complains of or is found to have:

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Literature review current through: Nov 2016. | This topic last updated: Tue Oct 07 00:00:00 GMT+00:00 2014.
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