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Giant cell arteritis — SCE Rheumatology MCQ

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EasyVasculitisGiant cell arteritisSCE Rheumatology

A 74-year-old woman has new temporal headache, jaw claudication and transient visual blurring. ESR is 86 mm/hour and temporal artery ultrasound is booked for the following day. Examination shows scalp tenderness and reduced left temporal pulse. What is the most appropriate management?

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Correct answer: C — Start high-dose glucocorticoids immediately and arrange vascular imaging or biopsy

Suspected giant cell arteritis with visual symptoms is an emergency; treatment must not wait for imaging or biopsy. High-dose glucocorticoids reduce risk of permanent visual loss. Ultrasound or biopsy should be arranged promptly but should not delay treatment.

Reference: BSR giant cell arteritis guideline; EULAR large-vessel vasculitis recommendations