of the great arteries.
It is often associated with polymyalgia rheumatica.
It affects the arteries of the muscles, eyes and connective tissue. The involvement of the
artery is typical.
Sex and age.
that affects mainly women (4 out of every five affected) usually from the fifties.
with inflammatory infiltrate of the arteries, of unknown cause.
Signs and symptoms.
involvement, especially in trunk arms and legs:
Dolores, especially in the mornings.
Redness, swelling and pulsating nodules along the
artery on one side of the head.
Loss of appetite.
Loss of vision.
Loss of force to chew.
Hypersensitivity of the scalp.
Older than 60 years.
Diagnosis and Treatment.
History and physical examination by
Blood tests (sedimentation rate, white blood cell count and evidence of
Biopsy of the
Apply heat to the General painful side of the head.
You can use hot or
the back of the neck and sore muscles.
High doses of steroids until the acute phase.
This relieves symptoms dramatically, altering the inflammation that causes.
In the lengthy treatment with corticosteroids, the lowest dose that controls symptoms taken every other day reduces the complications of treatment, although not always possible.
Immunosuppressive drug - alone or with cortisone, if other treatments have failed.
These drugs involve additional risks, including widespread severe
Have symptoms of polymyalgia rheumatica and
. It's an emergency!
The following occurs during treatment:
Fever of 38 degrees
New unexplained symptoms.
The drugs used in treatment can cause side effects.
Loss of vision. If it is affecting the blood vessels of the eye, is an emergency.
Allocation of vessels of the heart.
Poor blood circulation in his arms and legs.
You may need drugs to steroids for many months.
The complications of cortisone in the long term are significant, including
and peptic ulcer.
It can be cured, although there is the possibility of