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Polymyalgia rheumatica and temporal arteritis.

A H Friedlander1, C Runyon

  • 1University of California, Los Angeles.

Oral Surgery, Oral Medicine, and Oral Pathology
|March 1, 1990
PubMed
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Polymyalgia rheumatica and temporal arteritis are distinct yet related rheumatic conditions affecting older adults. Recognizing orofacial symptoms in temporal arteritis is crucial to prevent blindness.

Area of Science:

  • Rheumatology
  • Internal Medicine
  • Ophthalmology

Background:

  • Polymyalgia rheumatica and temporal arteritis are common rheumatic diseases in the elderly.
  • Polymyalgia rheumatica involves upper body pain and elevated erythrocyte sedimentation rate.
  • Temporal arteritis, a granulomatous vasculitis, affects carotid artery branches.

Observation:

  • Half of temporal arteritis cases follow polymyalgia rheumatica.
  • Orofacial symptoms like jaw claudication and tongue pain can occur.
  • These symptoms may be initial presentations of temporal arteritis.

Findings:

  • Temporal arteritis is a systemic disease affecting arteries.
  • Orofacial manifestations are significant indicators of temporal arteritis.

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  • Blindness is a risk in one-third of untreated temporal arteritis patients.

    • Implications:

    • Early recognition of orofacial symptoms is vital for timely diagnosis.
    • Prompt treatment of temporal arteritis can prevent vision loss.
    • Understanding the overlap between polymyalgia rheumatica and temporal arteritis improves patient outcomes.