Can temporal superficial arteritis be cured?

summary

Giant cell arteritis (GCA) used to be called cranial arteritis, temporal arteritis and granulomatous arteritis. Later, it was recognized that any large artery in the body could be involved and named after its pathological characteristics. GCA is the most common systemic vasculitis in adults. This disease mainly involves extracranial branches of carotid artery in patients over 50 years old. The most serious complication of GCA is irreversible visual loss. Can temporal superficial arteritis be cured? Let's talk about it

Can temporal superficial arteritis be cured?

GCA often invades multiple arteries, which is easy to cause blindness and other serious complications. Therefore, once the diagnosis is confirmed, glucocorticoid should be given immediately. It is generally advocated to use a large dose of continuous therapy, such as prednisone, until the symptoms are relieved and ESR is normal or close to normal. The total course of treatment is about several months,

It is not suitable to reduce or stop early to avoid relapse. When the patient's condition is stable, it is advisable to take the medicine once in the morning or every other day. Non steroidal anti-inflammatory drugs such as indomethacin can alleviate or control some symptoms,

Such as antipyretic, analgesic, improve systemic discomfort, but can not prevent ischemic complications such as blindness. Non steroidal anti-inflammatory drugs and cytotoxic immunosuppressants such as cyclophosphamide and methotrexate can be used in the treatment of patients with contraindications to glucocorticoids. It can also be treated with tripterygium glycosides.

matters needing attention

It is rich in vitamins and can improve the clinical symptoms such as pain and swelling caused by vascular inflammation. Rich in collagen, it can supplement the endothelial collagen of vasculitis. Protein content is high, and belongs to high-quality protein, which can provide necessary nutritional materials for tissue repair.