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PubMed · 622942

Temporal arteritis.

Abstract

Temporal (giant cell) arteritis is a disease of older persons that has a variety of clinical presentations. It is a major cause of blindness. The erythrocyte sedimentation rate is almost always markedly elevated. Corticosteroidss in large doses are urgently required. The diagnosis is established by biopsy of an artery. In an 80-year-old women who sudddenly became blind, the signs had been masked by low doses of steroids given for a mistake diagnosis.

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BibTeXRIS

R H Lehner, J D Kingham, J T Patten. 1978. Temporal arteritis.. https://pubmed.ncbi.nlm.nih.gov/622942/

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An outbreak of mainly extrapulmonary tuberculosis (TB) in a group of about 550 patients with rheumatoid arthritis (RA) is described. These patients had been attending the practice of a former general practitioner who treated cases of rheumatoid arthritis with phenylbutazone and steroids. The number of diagnosed TB cases was 55. Six cases had a contagious lung localisation. The possible sources of the outbreak were analysed. Both a visit on a same day as a sputum positive patient (chi 2-trend: 20.4; p < 0.001) and the administration of steroids (odds ratio (OR): 36.2; 95% confidence interval (CI): 8.8-313) were independent risk factors. There also appeared to be a relationship between TB and RA (OR: 4.4; 95%-BI: 2.2-9.1). Exogenous re(infection) and endogenous reactivation are possible causes of this outbreak.

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