Giant cell arteritis and rheumatic polymyalgia?

Update Date: 2024-07-19 Source: Network

summary

Giant cell arteritis (GCA) is a kind of systemic vasculitis syndrome which mainly invades the cranial artery. Rheumatic polymyalgia (PMR) is a kind of painful disease which has nothing to do with other rheumatic diseases, infections and tumors. It is common in the elderly, accompanied by rapid ESR. PMR is a clinical syndrome characterized by muscle pain of limbs and proximal trunk, which is sensitive to low-dose hormone treatment. Let's talk about giant cell arteritis and rheumatic polymyalgia?

Giant cell arteritis and rheumatic polymyalgia?

1. GCA is a heterogeneous and systemic inflammatory disease. Clinical manifestations vary from fever of unknown origin, intermittent claudication to blindness. The early description of GCA emphasizes the clinical manifestations caused by the involvement of ophthalmic artery and external carotid artery branches, but GCA itself can almost involve systemic arteries

2. Headache and scalp tenderness are the most common symptoms of GCA, which is the first symptom of more than half of patients. Headache in GCA is characterized by unilateral or bilateral temporal pain, which is described as extracranial, blunt, needlelike or burning pain. Most of them are persistent or intermittent.

3. Carotid artery and vertebrobasilar artery stenosis and occlusion can cause hemiplegia and brainstem lesions. Epilepsy, cerebrovascular events or mental disorders and other central nervous system diseases are rare. Including cough, with or without phlegm, sore throat or hoarseness. Imaging examination and etiology examination were normal, antibiotic treatment was ineffective.

matters needing attention

Smoking cessation is an important preventive measure. According to the data at home and abroad, smokers account for more than 80% - 95% of the patients. Clinical observation found that smoking cessation can relieve the pain of patients, stabilize the condition, and aggravate the symptoms of smoking again. Therefore, patients should be patiently advised not to smoke.