Document Detail


Heeding clues to giant cell arteritis. Prompt response can prevent vision loss.
MedLine Citation:
PMID:  15171082     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To return to the case vignette, the new onset of headache in a 74-year-old woman with anemia and a markedly elevated ESR should alert the physician to the strong possibility of giant cell arteritis. Vision loss is the most significant potential early complication. Temporal artery biopsy is indicated, and treatment with corticosteroids should be started immediately. Close monitoring of the patient's symptoms and laboratory parameters is critical, as is surveillance for potential late complications.
Authors:
Daniel M Lichtstein; Luis R Caceres
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Postgraduate medicine     Volume:  115     ISSN:  0032-5481     ISO Abbreviation:  Postgrad Med     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-06-02     Completed Date:  2004-07-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401147     Medline TA:  Postgrad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  91-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, University of Miami School of Medicine, PO Box 016960 (R-103), Miami, FL 33101, USA. dlichtstein@med.miami.edu
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Hormones / therapeutic use
Aged
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
Blindness / prevention & control
Female
Giant Cell Arteritis / complications,  diagnosis*,  drug therapy*
Headache / etiology
Humans
Methotrexate / therapeutic use
Polymyalgia Rheumatica / complications
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Anti-Inflammatory Agents, Non-Steroidal; 59-05-2/Methotrexate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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