Giant Cell (temporal) Arteritis (GCA)

Risk Factors

  • Age > 50
  • Women > Men
  • Northern European ancestry
  • Often prior hx PMR (up to 50%)

Symptoms

  • Fatigue
  • Headache
  • Joint aches
  • Myalgias
  • F
  • C
  • Fatgue
  • Wt loss
  • Visual loss
  • Jaw claudication
  • Can affect aorta & its major branches--> limb claudication

Physical Exam Findings

  • Sometimes scalp/temp art tenderness
  • Abnl appearing optic nerve
  • Afferent pupilary defect
  • Diminished distal pulses
  • Distal synovitis or bursitis

Tests