Extract

Executive summary

Scope and purpose

GCA is the commonest of all the vasculitides. Visual loss occurs in up to one-fifth of patients, which may be preventable by prompt recognition and treatment [1,2].

The aim of these guidelines is to encourage the prompt diagnosis and management of GCA, with emphasis on the prevention of visual loss. Their scope is to provide evidence-based advice for the assessment and diagnosis of GCA, for initial and further management and for monitoring of disease activity, complications and relapse. This is a summary of the guidelines and the full guideline is available at Rheumatology online.

The guidelines

The recommendations for the guidelines are set out in points 1 to 9.

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A patient >50 years of age presenting with the following features should raise suspicion of GCA:

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Examination may show:

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Laboratory investigations include:

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Features predictive of ischaemic neuro-ophthalmic complications [3, 4]:

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