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The diagnosis and management of temporal arteritis
Authors:Melvin LH Ling BMed MD  Jason Yosar MBBS  Brendon WH Lee BMed  Saumil A Shah BMed MD  Ivy W Jiang BMed  Anna Finniss FRACP  Alexandra Allende FRCPA PhD  Ian C Francis FRACS FRANZCO PhD
Affiliation:1. Faculty of Medicine, The University of New South Wales, Sydney, Australia;2. Faculty of Medicine, The University of Queensland, Brisbane, Australia;3. Chatswood Rheumatology, Sydney, Australia;4. Medical Testing Laboratory, Douglass Hanly Moir Pathology, Sydney, Australia
Abstract:
Temporal arteritis (TA), or giant cell arteritis, is a systemic autoimmune vasculitis affecting patients over 50 years of age. It can cause rapid, irreversible bilateral vision loss in older adults and is therefore considered an ophthalmological emergency. Many of the symptoms and signs of TA can be vague, non-specific and gradual in onset, often leading to a delayed or inaccurate diagnosis. As such, it is important for a wide variety of primary optometrists and health practitioners to maintain a robust understanding of the clinical presentation, key investigations and time-sensitive management of this disease, as early initiation of treatment for TA can be vision- and life-saving.
Keywords:arteritic anterior ischaemic optic neuropathy  giant cell arteritis  polymyalgia rheumatica  temporal arteritis  temporal artery biopsy
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