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Giant cell arteritis

Giant cell arteritis (GCA), or temporal arteritis, is an inflammation of the blood vessels that carry blood up through the neck to the head (carotid arteries) and those that carry blood within the head, especially those in the side of the face near the temple. This condition can cause irreversible blindness if not treated promptly.

Giant cell arteritis is the result of the body's immune system reacting against itself, known as an autoimmune response. It mostly affects people older than age 50. Giant cell arteritis causes a headache that begins as a dull, throbbing pain on one side of the head around the eye or near the temple. Occasionally the pain may feel like a stabbing or burning sensation. It may also cause jaw pain and loss of vision or blindness.

A large number of people with giant cell arteritis also have a condition called polymyalgia rheumatica (PMR), which causes muscle pain and morning stiffness-most commonly in the shoulders and pelvic area-along with fever, weight loss, and a general feeling of being unwell.

Giant cell arteritis is usually treated with corticosteroid medicine. This disease usually responds to treatment, with symptoms decreasing within 2 to 7 days. Medicine may be needed for 1 to 2 years to prevent symptoms from returning.

Author Jeannette Curtis
Author Caroline Rea, RN, BS, MS
Editor Kathleen M. Ariss, MS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Associate Editor Pat Truman
Primary Medical Reviewer Patrice Burgess, MD
- Family Medicine
Primary Medical Reviewer Adam Husney, MD
- Family Medicine
Primary Medical Reviewer Kathleen Romito, MD
- Family Medicine
Last Updated May 25, 2007

WebMD Medical Reference from Healthwise

Last Updated: May 25, 2007
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