Overview of Giant Cell Arteritis
Giant cell arteritis is a type of disorder that is marked by blood vessel inflammation.
People with often have polymyalgia rheumatica, a disorder associated with pain and stiffness in the neck, shoulder, and hip.
What happens in giant cell arteritis?
Giant cell arteritis causes narrowed arteries, which reduces blood flow. The disorder mostly affects arteries located on each side of the head, although other blood vessels can also become inflamed.
Giant cell arteritis can cause potentially serious problems if untreated, including permanent vision loss and stroke. It is critical to report any symptoms to your doctor and to receive early treatment to prevent permanent tissue damage.
Who Gets Giant Cell Arteritis?
Women are more likely than men to develop giant cell arteritis, but men with the disorder are more likely to suffer eye damage that could result in blindness. Giant cell arteritis mostly affects people over the age of 50, with highest rates at 70 to 80 years of age.
Symptoms of Giant Cell Arteritis
Signs of giant cell arteritis can include:
- Flu-like symptoms early in the disease, such as tiredness, appetite loss, and fever.
- Pain and tenderness over the temples.
- Double vision or vision loss.
- Problems with coordination and balance.
- Pain in the jaw and tongue, especially when eating.
- Difficulty in opening the mouth wide.
- Scalp scores (rare cases).
Diagnosis of Giant Cell Arteritis
To diagnose you with giant cell arteritis, your doctor will:
- Ask you about your medical history.
- Give you a physical exam to determine if the arteries in your temples are inflamed, tender to the touch, and have a reduced pulse.
- Take a small section of the artery in your temple to examine it under a microscope.
Treatment of Giant Cell Arteritis
Symptoms of giant cell arteritis quickly disappear when treated with corticosteroid medications, such as prednisone. The duration of drug treatment differs for each person. Your doctor will typically keep you on high doses of corticosteroids for about one month. Symptoms may develop when the corticosteroid dose is reduced to lower levels. After a while, symptoms usually clear up completely, and the doctor can stop the medication altogether.
It is critical to report any symptoms to your doctor and to receive early treatment in order to prevent serious problems, including permanent vision loss and stroke.
Research Progress Related to Giant Cell Arteritis
Research on giant cell arteritis includes:
- Researchers studying possible causes of giant cell arteritis are investigating the roles of genetics and environment, as well as immune system problems.
- By examining people with and without the condition, doctors are starting to understand factors associated with disease symptoms and outcomes. For example, women are more likely than men to have jaw involvement from giant cell arteritis, while men are more likely to have eye involvement that can lead to blindness.
- Researchers are also following patients over time through the Vasculitis Clinical Research Consortium. Data from these studies will be used to examine the genetics and causes of giant cell arteritis, find new ways to track disease and predict responses, understand how to treat patients, and much more.