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PMR and vision

Polymyalgia Rheumatica (PMR) | Last Active: Sep 11, 2022 | Replies (18)

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@maryft

Hello John,
Thanks for your reply. I have read about both conditions, but didn't think I had GCA; however, I do have headaches, which is nothing out of the ordinary for me. In addition to PMR, I also have hypothyroidism, microscopic colitis, some arthritis, and restless leg syndrome, so I usually present as a difficult case. I was having shortness of breath on the higher prednisone doses (I was also under a ton of stress at that time) and was referred for pulmonary testing and a myriad of cardiac tests, resulting only in finding a premature heart beat. Propranolol was prescribed for that. I had vision problems shortly after starting the prednisone, which I told my GP, (and that is listed as a side affect) and she said it's probably the prednisone. If it was GCA, wouldn't the prednisone then help the blurry vision? It's frustrating because the PRM pain has returned, but I'm very concerned about my vision presently.

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Replies to "Hello John, Thanks for your reply. I have read about both conditions, but didn't think I..."

Hi @maryft, Here's some information on how GCA is diagnosed. From what I remember my rheumatologist telling me is that you might have to be on a higher dose of prednisone if you have GCA.

"The best way to confirm a diagnosis of giant cell arteritis is by taking a small sample (biopsy) of the temporal artery. This artery is situated close to the skin just in front of your ears and continues up to your scalp. May 13, 2021" --- Giant cell arteritis - Diagnosis and treatment - Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/giant-cell-arteritis/diagnosis-treatment/drc-20372764

"Temporal artery biopsy is still regarded as the diagnostic gold standard for GCA. It can be carried out as an outpatient procedure under local ..." --- The Diagnosis and Treatment of Giant Cell Arteritis - NCBI - NIH: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3679627/