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Temporal arteritis. A 14-year epidemiological, clinical and prognostic study.

F Jonasson, J F Cullen, R A Elton

    Scottish Medical Journal
    |April 1, 1979
    PubMed
    Summary

    Temporal arteritis, a condition affecting arteries, shows a significant seasonal pattern with most cases occurring in January. This review analyzes 136 patients over 14 years, examining incidence and clinical features.

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    Area of Science:

    • Rheumatology
    • Epidemiology
    • Internal Medicine

    Background:

    • Temporal arteritis (Giant Cell Arteritis) is a vasculitis primarily affecting older adults.
    • Understanding its epidemiological patterns is crucial for public health and clinical management.
    • Previous studies have suggested potential seasonal variations, but further investigation is warranted.

    Purpose of the Study:

    • To analyze the incidence, clinical features, and outcomes of temporal arteritis in the Lothian Region of Scotland.
    • To investigate the seasonal occurrence of temporal arteritis.
    • To review treatment, adverse effects, and differential diagnoses.

    Main Methods:

    • Retrospective review of 136 histologically confirmed temporal arteritis cases.
    • Data collected over a 14-year period (1964-1977).

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  • Analysis focused on incidence, age, sex, seasonality, clinical presentation, prognosis, and treatment.

    • Main Results:

    • A statistically significant seasonal effect was observed, with a peak incidence in January (p<0.01).
    • The study details the age, sex distribution, and common clinical manifestations.
    • Prognosis and treatment outcomes, including adverse effects, were evaluated.

    Conclusions:

    • Temporal arteritis exhibits a distinct seasonal pattern, peaking in winter months.
    • Comprehensive case review provides insights into the epidemiology and clinical course.
    • Findings support the need for awareness of seasonal influences in temporal arteritis management.