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Old 11-11-2011
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Vascular granulomatous inflammation of temporal artery

75 year old male has had headach for sevreal months on physical examination he has a prominant palpable right temporal artery that is painful to touch the biopsed segment of thickened temporal artery shows granulomatous inflammation . this condition responded well to corticosteroids therapy . which of the following complications is most likely to occur in untreated patient?
a. renal faliure
b. hemoptysis
c. malignant hypertension
d. blindess
e. gangrene of the toes
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Old 11-11-2011
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d. blindess

it is a Giant Cell Arteritis GCA, and if untreated it can cause blindness, due to involvement of ophthalmic artery..... an important point in GCA that when we make the clinical diagnosis (or the most likely diagnosis) immediately we begin the corticosteroids, before the biopsy result.....
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Old 11-12-2011
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Quote:
Originally Posted by tariqkaseda View Post
d. blindess

it is a Giant Cell Arteritis GCA, and if untreated it can cause blindness, due to involvement of ophthalmic artery..... an important point in GCA that when we make the clinical diagnosis (or the most likely diagnosis) immediately we begin the corticosteroids, before the biopsy result.....
u are completely right and thanks for great explanation of your answer
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