Giant Cell Arteritis (Temporal Arteritis) | Causes, Pathophysiology, Symptoms, Diagnosis, Treatment
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- Опубліковано 4 лип 2024
- Giant Cell Arteritis (Temporal Arteritis) | Risk Factors, Pathophysiology, Symptoms, Diagnosis, Treatment
Giant Cell Arteritis (which is also known as Temporal Arteritis) is a systemic inflammatory vasculitis condition involving inflammation of small, medium and large blood vessels. The etiology of this condition is unknown; however, a variety of factors have been found to be associated with increased risk of this condition, including older age, smoking, and possible previous infection. In this lesson, we discuss the additional factors that increase the risk of giant cell arteritis, along with how it happens, clinical features and symptoms you need to look out for, along with how it is diagnosed and how it is treated.
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JJ
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I think this is one of the best video I have seen in temporal arthritis,very well explained and the material was good
I was loosing my sight in May for a week when it was doing the other eye and my eye dr pit me right in the emergency room had them waiting for me I'm 69 yrs old was diagnosed treated as GCA and steroid IV for 5 days had avtemporal artery biopsy done and I was able to see great again I'm being treated on pregazone and slowly they have lowered doses so in may when hospitalized I had a seg rate of 91.1. Here it is October and I'm down to 30.1 which is great . They want me to go off the pregazone and try a fda new drug but it's so expensive and I'm happy the way I feel now. There's no cure but I would still enjoy my quality of life I am living without the risk of that med I also have quit smoking on a anti inflammatory diet to loose 70 lbs cause I am so overweight and that's helping too. I had many side affects for a year before had covid vaccines and caught covid 6 months before I had any problems very mild case .
Thank you! this was very informative.
My GCA was discovered in my aorta and pulmonary arteries through pathology after surgery to replace the aneurysms, wondering where it will show up next. yikes, Thank you for your presentation, now I have a better understanding what this is.
Thank you for this great information. I was recently diagnosed with PMR. My headaches felt like my brain was on fire. I have pain around my eyes. My rheumatologist started me on 10 mg of Prednisone to see how I would respond. My headaches are not as bad but I have a foggy like pain in my head that tells me its not 100% gone. My vision was never good, I wear glasses. I feel he should probably increase my dose. I had a high monocyte count and CPR as well.
should be increased to at least 40mg od and tapered down
I've had a tooth infection for about a month and a half now, and I now have a random bump/swelling on my temple. Same side as the infected tooth. Looking into it led me here. I'm only 29, but I'm paranoid about my health. I only noticed it a day ago, but it's just the dullest ache.
How's it going? I have a missing exposed tooth with some pain from time to time, and now this bump appeared on my same side as well, and the pain travels temple to temple. It feels like an ant bite or boil that is on top of the vessel by my temple. I'm 29 years old could I even have GCA being the age I am.
@@GregGarcia-jk1lc Hey, man. I mean I guess it is poooooosible, but I will say that I had the infected teeth pulled. One of which was a wisdom tooth, and that added to my "temple situation." But I feel worlds better already. I'm realizing now how much dental issues can really affect you from head to toe. To me, the physical effects it can have feel almost downplayed. Or maybe it's just me that's misinformed. xD But I don't think we have GCA, friend. It usually pops up in women of Scandinavian descent who are 50+ years old.
Thank you
Good video.
My mother was diagnosed with this at 62 years old. She died of a stroke ten years later.
I'm sorry to hear.
My mother was also diagnosed with this horrible life- changing condition, but we are lucky to still have her with us.
My condolences
I’m so sorry for your loss
Sorry for your lost. My condolences.
Was she ever treated for it, with steroids or medication?
Thanks a lot !
I was diagnosed with an extremely rare condition called Talosa Hunt syndrome,which is severe facial pain,blindness,frontoral lobe pain,in November 2006 the week of thanksgiving I started experiencing severe facial discomfort,within a week I’d be totally blind,for many months, I was the 4th recorded case in the U.S. many Doctors aren’t aware or know anything about this condition,that’s how rare it is , and the pain is the worse pain I’ve ever had in my life,I wanted to end my life because of it,for over a week I was transferred by ambulance to hospital in excruciating pain,they would pump me up with morphine and send me home,I had to go blind to finally get a hospital to admit me,I want to bring awareness to this condition,I could go on and on about my brush with death,and to this day my life has never been the same again
🙏🏾🙏🏾🙏🏾
Thanks
Excellent presentation, so informative and easy to understand. Could you tell me, what type of specialist you would see if you suspect PMR with GCA (a rheumatologist or any specific specialty in Rheumatology?) Do you believe or has it been reported, a link between PMR and prior, severe preeclampsia during pregnancy? Are blood vessels damaged during preeclamptic pregnancy (I had it and had double vision, with protein in the urine, twice, in both pregnancies.) Might the PMR go away and then return (I think you said this), after recovering from the pregnancies and preeclampsia, later returning from some other insult to the body (illness etc?) Once treated with the steroids, does it go away/resolve for good, are you ever cured of it? Do the blood vessels go back to normal? Thank you again for the great presentation. I'm looking forward to your responses : )
How you now. ।areyou ok
THANK YOU SOO MUCH, I am now linking this half face pain along with half of my toung and neck spasms. It is depressing to have horrible pain and not know what is going on since I do have most all the symptoms. ❤
Excellent info….I’ve had polymyalgia ….treated with prednisone …..
Is your PMR is gone? You said you had it. I was diagnosed 2 month ago with PMR. I'm on a 0 carb diet to fight inflammation and fasting 4/5 days a week. I will do everything in my power to get rid of inflammation that cause all these awful conditions. I'm beginning to feel the pain on the side of my head ... and back of my neck.
I am watching this and I have all the symptoms you have mentioned, I think I need to seek help tomorrow . Bit worried, had them for 4 weeks now thank you 🇬🇧
How are you doing? were you dignosed?
I had a U S Doppler scan on my temple arteries a week ago, waiting for results x ❤️🇬🇧
@@audreybrooke7985 God bless! Let's hope the results are negative.
@@audreybrooke7985any updates please
Very good information. And channel. Subbed 🙏🫂👍
I've had the pain off and on for a year and then it came on strong recently and my vision started blurring, it was the vision combined with the temporal pain on one side that triggered the test. Im wondering though, the doctors seem to think its unconnected but I had vertigo for over a month right before the pain started, i had my hearing checked, did the physical therapy ear crystal test etc but there was no explanation and then suddenly the vertigo went away and the temporal pain started within the week. I find it strange the doctor to say its unrelated but they never knew why i had the vertigo.
Same here with the vertigo and going on 4 months with pain in right side of head. What's going on now?
Same situation but no help
Wow I have bad migraines side and behind eyes burning pain Too Neurologist did Botox and nothing. Went to so many doctors and now new one Tested for This and see now I am worried
Do you have it? U get your results
Thank you for this information & presenting it in an easy to understand format.
My mother was diagnosed in 2020.
Doctors took too long to figure it out & she lost her sight.
What a nasty condition.
To add insult to injury, the side effects from the high dose prednisone is almost as bad.
My dads doctor suspects it, and wants to start time in the steroid but I’m hesitant because it’s an immunosuppressant and he had TB when he was under and it could activate… I’ve been giving him other things that help against inflammation and thin the blood and praying that helps keep the blindness away. I don’t know what will be worse
@@MikeBotrosDIYHomeGardenwhat other things have you given. I have it and like to experiment with natural things. Anything you can tell me is much appreciated.
Diagnosed in 2022 took months for someone to listen. It's not a disease for the weak.
I've been wearing tight glasses for about 2 years. I just thought it was snug fit. But it turns it could be the contrbuting factor to my temporal headaches. I had no idea these 2 large veins exisited around the tempals.
It feels like someone is pressing their thumbs against my tempals. I'm taking Ibuprofen and have stopped wearing the tight frames. But the sensations are still persisiting. Will check in with the Dr again in a few days if it does'nt die down. I'm hoping it's inflammation and nothing worse.
How did you get on?🫂🙏
@@michael5089 Nothing serious. Turns out it was due to excess caffeine in my system, drinking 4-5 cups a day.
I drink less coffee ☕ and the issue is gone.
I just assumed that worst at the time.
@@sidkingsSo pleased for you❤👍
@@sidkingswhat test did they performed on you to rule out every
@@elposho23 I had a remote appointment via my phone and it was pointless to be honest. He couldn't do any tests.
In the end I figured out it was because I was having too much caffeine so I cut down. Never had issues since.
Surprised that CRP elevations are not one of the 5 diagnostic criteria
Is this something that is felt/happen in 1 or both eyes?
I'm 27 and I was recently diagnosed with temporary Arteries, I was given prednisolone and the headaches keeps coming back, I don't know what to do
hi I'm almost 28 and I've been dealing with headaches for years and couldn't know what whas it cuz meds weren't working , when i read about temporal arteritis i was sure that's what I'm suffering of but ik that in my country i wouldn't get the proper diagnosis .
so I'm hoping for the best and whish for it to go away on its own lol... got well soon
How you got diagnosed
@@yevaibu3993how would you describe your headache
I went to the hospital and had some test done @@elposho23
I have a bulging long squiggly vein running down from my right side of my fore head down. It's been visible for approximately three weeks. I experience neck pain.
You should see a doctor.
see a doctor asap , my partner lost her sight in the left eye / not acting immediately
I wonder if Covid could trigger this also……
I had covid a few months back. The last week has been the worst as they think I have this and the pain is nothing like I've ever had. Turned 40 in January.
Let me know what happens
What if you're in your late 30s? Or is this only an over 50 thing?
I'm 39 and have it.
@@krystalshepherd4582What are the symptoms?
@@johndarylucmayon Mine started with a pain directly at my temple. When I first saw all the pictures of elderly with their hand at their temple in pain I was like wow, there I am. It actually hurts to the touch as well. I don't know if everyone's does but mine sure does. The pain came off and on for about 9 months, it would stay a week or 2 and then go away and then suddenly it came on and wouldn't stop and was even more intense and my vision kept blurring. I'd go to read something and it would be all blurry for a minute or so and I'd be looking in the distance and everything would seem blurry and I kept adjusting my eyes thinking maybe it's in my head and asking my husband if he thought it looked foggy or something. I've always had 20/20 vision. When I bend down the pain gets worse too.
So finally it was too much to bear and I went to my doctor and addressed the pain again. I had done so when it first started but they didn't think much of it, I had just had an MRI to check on the kiari malformation i also have and there was a cyst near my pituitary gland but they said it was fine and wouldn't cause the pain. So when I came in months later and happened to mention the vision blurring with it they did a couple blood tests and the c reactive protein level was at 18.4. There was another one but I don't remember that test name.
The doctor said it's unrelated but I would also note that right before the pain started I had vertigo for a couple of months, they tested for ear crystals and I had that MRI as well and they were going to check something else in my ear but then it just went away and the temple pain started in the next few days afterward.
Oh and also when the pain came back and didn't leave I also could feel it spreading through half my face, every day I could literally feel it spread like an infection, I actually thought maybe I had an infection. The pain that spread was strange, it hurt but it also felt like my face was partially numb at the same time, like novacain wearing off.
👍👍🙏
Hi any trement for gait disease sir pls give me no sir
Fungus
Why?
yeah why?
What???!!
So you cant get it in your 40s
Not necessarily. It's very possible, although more commonly diagnosed among those over 50.
So even though far more prevalent in women they use pictures of men?
Patriarcal society. 😂