Giant cell arteritis (GCA): clinical features
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Giant cell arteritis (GCA): clinical features. Onset age ≥ 50 years. Onset of new localized head pain. Fully referenced neurology checklist.
Diagnostic criteria of GCA
- Onset age ≥ 50 years
- Onset of new localized head pain
- Temporal artery tenderness or reduced pulsation
- Erythrocyte sedimentation rate (ESR) >50 mm/h by Westergren method
- Vasculitis on temporal artery biopsy
Phenotypes
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Systemic features
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Ophthalmological features
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Central neurological features
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Peripheral neurological features
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Reported co-morbidities
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Differential diagnosis
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Synonym
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References
- Dasgupta B, Borg FA, Hassan N, et al. BSR and BHPR guidelines for the management of giant cell arteritis. Rhaumatology (Oxford) 2010; 49:1594-1597.
- Calvo-Romero JM. Giant cell arteritis. Postgrad Med J 2003; 79:511-515.
- Villa-Forte A. Giant cell arteritis: suspect it, treat it promptly. Cleve Clinic J Med 2011; 78:265-270.
- Hunder GG, Bloch DA, Michel BA et al. The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis. Arthritis Rheum 1990; 33:1122-1128.
- Choi JH, Shin JH, Jung JH Arteritic anterior ischemic optic neuropathy associated with giant-cell arteritis in korean patients: a retrospective single-center analysis and review of the literature. J Clin Neurol 2019; 15:386-392.
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