← Return to Temporal Artery Biopsy VS a color Doppler Ultrasound for GCA diagnosis

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@nyxygirl

Hello @lilyonm I just had a setback after tapering from 30mg Prednisone ( May 2023) to 0.5 mg in first week of July. At end of June I had a cold with lo fever and started noticing headache and pain in the jaw on the right side of my face. On July 5th my CRP , but not ESR was elevated again. I happened to be at osteopath who examined and manipulated my jaw.
I am aware of GCA symptoms and also knew that there is a GCA fast track clinic at Mass General Brigham. I asked my rheumatologist "what is the protocol I would follow if the symptoms were to worsen or become more frequent?[ we were getting ready for vacation]" well to my surprise she referred me immediately for a temporal artery biopsy ! I thought she would just say keep the phone number for the fast track clinic handy and/or get downtown immediately to the "clinic"

SO -- Where do you live? - I assume that since you are asking , there is someone who is trained to do the GCA ultrasound?
https://www.medscape.com/viewarticle/964298?form=fpf
BTW - and@johnbishop I had the biopsy under local anesthesia by a general surgeon from Salem Hospital ( in MA). The nurse said they do MANY of these ! My results are negative for temporal arteritis. Again, unlike you, I had finally tapered to 0 mg Prednisone . After the biopsy I restarted 5 mg of Prednisone . I couldn't go swimming on vacation because of the incision!! I am seeing rheum Monday . And I did bring 60mg Prednisone on my trip just in case !

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Replies to "Hello @lilyonm I just had a setback after tapering from 30mg Prednisone ( May 2023) to..."

Hello. Wow! Thanks for sharing your experience and the link to the MedScape article. I live in Santa Fe, NM. Our health care is nothing like that of the Boston area. We have one rheumatologist. I got in quickly (Monday) for a Doppler US at the radiology department in one of our hospitals. I will ask them specific questions pertaining to resolution. This is not a Fast Track clinic. I have an appointment with ENT on Wednesday regarding a TAB which I would like to avoid, and because of the possibility of a negative reading because of steroids.

Curious: have you had your Iron and ferritin levels tested? Mine both came back LOW. My CRP and SED are elevating not alarmingly but they should be going down with Prednisone.

And your PMR diagnosis was 2023? Did you have any procedures prior to onset? I believe mine was triggered by dental work. I also live with psoriasis (plaque and guttate) that I have managed with diet and supplementation.

Again, TY for your reply. Glad you do not have GCA. Stay healthy and be well. PS I'll let you know what I discover.