Giant Cell Arteritis, A Simple Guide To The Condition, Treatment And Related Diseases
By Kenneth Kee
()
About this ebook
Giant Cell Arteritis is an inflammatory syndrome of cranial arteries
It causes reddening and tenderness around the temporal arteries of the body.
It may be part of the polymyalgia rheumatica syndrome
It can also affect the nerves and give rise to the skin symptom
Symptoms often include fever, a general feeling of malaise
The most common symptom is the one sided or bilateral headache
Giant Cell Arteritis can cause visual impairment and blindness.
Physical examination show presence of jaw claudication and tenderness
GCA is diagnosed with a raised ESR and CRP and evidence of vasculitis
Polymyalgia rheumatica is also associated with Giant cell arteritis
Diagnosis of GCA is the presence of abnormal giant cells in temporal artery biopsy
Treatment is usually with corticosteroids or immunosuppressant therapy
-An original poem by Kenneth Kee
Interesting Tips about the Giant Cell Arteritis
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Prompt medical action is important as untreated temporal arteritis can progress to the ophthalmic artery which supplies blood to the retina of the eye.
a. High dose corticosteroids prednisolone by mouth daily.
b. Dosage of corticosteroids can be reduced 2-3 weeks after symptoms disappear
c. Maintenance dose of corticosteroids should be continues for six to eight months
Headache is a fairly common complaint in any family doctor clinic.
It is important to treat for nausea, vomiting, stiffness of the neck, fits, stress, lack of sleep, flashes of light in the eyes, and weakness of one side of the body.
The doctor should always treat for any high fever (one of the common causes) and high blood pressure.
Prognosis is good with prompt onset of corticosteroids treatment before loss of vision
Loss of vision is irreversible once it occurred
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Chapter 1
Giant Cell Arteritis
What is Giant Cell Arteritis?
Giant Cell Arteritis or Temporal Arteritis is an inflammatory syndrome of cranial arteries especially the temporal artery.
It causes reddening and tenderness around the blood vessels or a dull ache on the temporal sides of the head.
It may be associated with blindness and may be part of the polymyalgia rheumatica syndrome.
It usually affects middle aged or older people.
It is rare under the age of 50 years.
Women are more affected than men.
There is inflammation of all layers of medium sized arteries within the carotid distribution occasionally elsewhere.
TABLE OF CONTENT
Introduction
Chapter 1 Giant Cell Arteritis
Chapter 2 More Facts about Giant Cell Arteritis
Chapter 3 Treatment of Giant Cell Arteritis
Chapter 4 Vasculitis
Chapter 5 Polymyalgia Rheumatica
Chapter 6 Kawasaki Disease
Chapter 7 Migraine
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Giant Cell Arteritis, A Simple Guide To The Condition, Treatment And Related Diseases - Kenneth Kee
Giant Cell
Arteritis
A
Simple
Guide
To
The Condition,
Treatment
And
Related Diseases
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2014 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Giant Cell Arteritis, Treatment and Associated Diseases or in vernacular terms
(What You Need to Treat Giant Cell Arteritis)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode To Giant Cell Arteritis
Giant Cell Arteritis is an inflammatory syndrome of cranial arteries
It causes reddening and tenderness around the temporal arteries of the body.
It may be part of the polymyalgia rheumatica syndrome
It can also affect the nerves and give rise to the skin symptom
Symptoms often include fever, a general feeling of malaise
The most common symptom is the one sided or bilateral headache
Giant Cell Arteritis can cause visual impairment and blindness.
Physical examination show presence of jaw claudication and tenderness
GCA is diagnosed with a raised ESR and CRP and evidence of vasculitis
Polymyalgia rheumatica is also associated with Giant cell arteritis
Diagnosis of GCA is the presence of abnormal giant cells in temporal artery biopsy
Treatment is usually with corticosteroids or immunosuppressant therapy
-An original poem by Kenneth Kee
Interesting Tips about the Giant Cell Arteritis
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Prompt medical action is important as untreated temporal arteritis can progress to the ophthalmic artery which supplies blood to the retina of the eye.
a. High dose corticosteroids prednisolone by mouth daily.
b. Dosage of corticosteroids can be reduced 2-3 weeks after symptoms disappear
c. Maintenance dose of corticosteroids should be continues for six to eight months
Headache is a fairly common complaint in any family doctor clinic.
It is important to treat for nausea, vomiting, stiffness of the neck, fits, stress, lack of sleep, flashes of light in the eyes, and weakness of one side of the body.
The doctor should always treat for any high fever (one of the common causes) and high blood pressure.
Prognosis is good with prompt onset of corticosteroids treatment before loss of vision
Loss of vision is irreversible once it occurred
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Cigarettes contain more than forty types of hazardous and possibly cancer causing chemicals which can harm the smokers and those around them.
Chapter 1
Giant Cell Arteritis
What is Giant Cell Arteritis?
Giant Cell Arteritis or Temporal Arteritis is an inflammatory syndrome of cranial arteries especially the temporal artery.
It causes reddening and tenderness around the blood vessels or a dull ache on the temporal sides of the head.
It may be associated with blindness and may be part of the polymyalgia rheumatica syndrome.
It usually affects middle aged or older people.
It is rare under the age of 50 years.
Women are more affected than men.
What are the causes of Giant Cell Arteritis?
The cause is unknown.
There is inflammation of all layers of medium sized arteries within the carotid distribution occasionally elsewhere.
What Are the Symptoms of Giant Cell Arteritis?
Early symptoms of giant cell arteritis may resemble flu symptoms such as fatigue, loss of appetite, and fever.
Symptoms specifically related to the inflamed arteries of the head include headaches, pain and tenderness over the temples, double vision or visual loss, dizziness or problems with coordination, and balance.
Pain may also affect the jaw and tongue, especially when eating, and opening the mouth wide may become difficult.
In rare cases, giant cell arteritis causes ulceration of the scalp.
1. Pain and tenderness of the scalp arteries with palpable thickening
2. Headache and systemic upset such as weight loss
3. Visual disturbance with loss of visual fields and blindness in severe cases
4. Associated depression
5. Claudication of jaw muscles while talking or eating
6. There may be pain in the jaws while chewing
How is Giant Cell Arteritis diagnosed?
1. Classical symptoms of headache
2. High ESR rate
3. Biopsy of temporal artery is diagnostic with multinucleated giant cells seen with fibrous proliferation of intima and fragmentation of elastic tissue
What is the complication of Giant Cell Arteritis?
It can cause blindness.
What is the treatment of Giant Cell Arteritis?
Prompt medical action is important as untreated temporal arteritis can progress to the ophthalmic artery which supplies blood to the retina of the eye.
1. High dose corticosteroids prednisolone by mouth daily.
2. Dosage of corticosteroids can be reduced 2-3 weeks after symptoms disappear
3. Maintenance dose of corticosteroids should be continues for six to eight months
Headache is a fairly common complaint in any family doctor clinic.
It is important to ask for nausea, vomiting, stiffness of the neck, fits, stress, lack of sleep, flashes of light in the eyes, and weakness of one side of the body.
The doctor should always check for any high fever (one of the common causes) and high blood pressure.
What is the prognosis of Giant Cell Arteritis?
Prognosis is good with prompt onset of corticosteroids treatment before loss of vision
Loss of vision is irreversible once it occurred
Chapter 2
More about Giant Cell Arteritis
Giant cell arteritis (GCA) is a condition which causes swelling (inflammation) on the inside of some blood vessels (arteries).
It is called 'giant cell' because abnormal large cells develop in the wall of the inflamed arteries.
The arteries commonly affected are those around the head and neck area.
One of the arteries that is