Giant Cell (Temporal) Arteritis: Pathogenesis and investigations
Risk Factors:
- Unclear environmental triggers (may be viral, not proven)
- Genetic abnormalities (i.e. HLA-DR4 mutation) that alter inflammatory cytokine expression
- Age: GCA is almost never seen in patients < 50 yrs old; F>M
Signs/Symptoms:
- Fever
- High serum CRP. ESR
- Thrombocytosis
- Normocytic Anemia
- Giant cells seen on biopsy
- Vessels will be enlarged, usually painful to palpation
- Vasculitic skin lesions
- Muscle-soreness (associated with Polymyalgia Rheumatica)
- Focal neurological findings
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