PMR progressing to GCA? Broken vessels in eye

Posted by ldingwall88 @ldingwall88, Sep 27, 2022

Hi-- I was diagnosed with PMR in May. I started at 40mg prednisone and was finally able to go down to 30mg at the beginning of September. The past week I've had an increase in PMR pain and planned to call my dr about it. However, this afternoon I noticed a large blood patch covering most of the outer corner of my right eyeball and now I'm concerned about GCA. I looked up the symptoms but that doesn't seem to be one of them--but as you can imagine, I'm in a bit of a panic and although I called my dr, I had to leave a message. Does anyone have any info about this? I've never had anything like this before and am very concerned.

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@floridabonnie

I was thinking about doing that, but the pain is sporadic, not continual. Does it need to happen more often to be GCA? I am only getting those symptoms for about 10 minutes at a time, about 4 days a week. Not often at all.

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Hi@floridabonnie, I had PMR, not diagnosed for a year (partly my fault), with consistent and unremitting pain on a scale of 10 out of 10. Then it eased up, but I got new symptoms - the only consistent one was a neck and lower head so stiff and sore I couldn't turn my head. The other symptoms were sporadic and lasted a couple of weeks: scalp tenderness, short little stabbing pains from my ear to my nose, starting a few times a day, then up to 25 a day, inability to see out of my right eye for about 15 minutes a few times, a dry cough in the evenings, extreme fatigue, a very itchy torso with no rash for two weeks, and loss of appetite. I also got shingles despite having the Shingrex vaccine. Unfortunately, with sporadic symptoms that came and went, I kept wishing them away. Luckily a friend, physician, got interested, listened to my symptoms and told me to pressure my PCP for a number of blood tests. My inflammation markers were through the roof and with a low dose of Prednisone, 15 mg, my symptoms didn't completely go away. I had the temporal artery biopsy and was positive for GCA, put on 40 mg of Prednisone and just ended treatment, about a year and a half later. GCA is nothing to mess with - untreated it can cause stroke or blindness. My doctor friend told me to go to an ER immediately if I had any problems with vision. About 30% of people with PMR develop GCA. It's probably best to let your doctor know about your new symptoms. If you do have GCA your immune system will continue to attack your blood vessels and arteries. By the way, my mother in law had GCA and her symptoms were different from mine, so much so, that it never crossed my mind I had GCA. The temporal artery biopsy wasn't a difficult procedure. Wishing you the best, Teri

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