Giant-cell Arteritis - Signs and Symptoms

Signs and Symptoms

It is more common in women than in men by a ratio of 2:1 and more common in whites than blacks. The mean age of onset is >55 years, and it is rare in those less than 55 years of age.

People present with:

  • bruits
  • fever
  • headache
  • tenderness and sensitivity on the scalp
  • jaw claudication (pain in jaw when chewing)
  • tongue claudication (pain in tongue when chewing) and necrosis
  • reduced visual acuity (blurred vision)
  • acute visual loss (sudden blindness)
  • diplopia (double vision)
  • acute tinnitus (ringing in the ears)
  • polymyalgia rheumatica (in 50%)

The inflammation may affect blood supply to the eye and blurred vision or sudden blindness may occur. In 76% of cases involving the eye, the ophthalmic artery is involved causing arteritic anterior ischemic optic neuropathy. Loss of vision in both eyes may occur very abruptly and this disease is therefore a medical emergency.

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