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Related Experiment Videos

Temporal arteritis. Clinical implications for the vascular surgeon.

C D Procter1, L H Hollier, C M Trosclair

  • 1Ochsner Clinic, New Orleans.

The Journal of Cardiovascular Surgery
|September 11, 1992
PubMed
Summary

Temporal arteritis, a disease affecting the elderly, presents with varied symptoms. Early diagnosis and corticosteroid treatment are crucial to manage complications from both the disease and its therapy.

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Area of Science:

  • Rheumatology
  • Internal Medicine
  • Geriatrics

Background:

  • Temporal arteritis (TA) is a systemic vasculitis primarily affecting older adults.
  • It can lead to serious complications, including vision loss, if not promptly diagnosed and treated.

Purpose of the Study:

  • To evaluate the clinical characteristics and outcomes of patients with suspected temporal arteritis.
  • To assess the efficacy and complications of corticosteroid treatment in TA.

Main Methods:

  • Retrospective review of 516 patients with suspected TA.
  • Analysis of clinical findings, biopsy results, treatment responses, and complications.

Main Results:

  • 97 patients (18.8%) had a positive TA biopsy.

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  • Common symptoms included abnormal temporal artery findings (65.9%), headache (64.8%), and constitutional symptoms (46.6%).
  • Elevated erythrocyte sedimentation rate (>50 mm/hr) was observed in 91% of patients. Corticosteroids were the primary treatment, with complications noted in 44.3% of patients.
  • Conclusions:

    • Temporal arteritis is a treatable systemic disease responding well to corticosteroids.
    • Prompt diagnosis is essential to mitigate disease and treatment-related complications.