Giant cell arteritis is a condition that can cause vision loss, new persistent headaches, scalp tenderness, and jaw pain with chewing. It is due to inflammation of blood vessels primarily of the head and neck.
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Medications that are known to precipitate Pseudotumor CEREBRI (PTC) and should be AVOIDED:
1. Tetracycline, Doxycycline, Minocycline (usually prescribed for treatment of Acne and Rosacea)
2. Vitamin A and related compounds:
a. Excess Vitamin A intake (pills, liver, isotretinoin)
b. Retinoic acid (ATRA used in Acne crèmes, treatment of acute leukemia)
3. Growth Hormone (rHGH, synthetic)
4. Anabolic steroids & withdrawal from chronic use of corticosteroids (e.g. Prednisone, dexamethasone)
5. Other medications include:
Amiodarone, Diphenylhydantoin, Lithium carbonate, Nalidixic acid, sulfa antibiotics, Oral contraceptives
Medical conditions associated with PTC:
Recent weight gain, obesity (not necessarily in kids),
Sleep apnea
Anemia
Addison’s disease (adrenal insufficiency)
Lupus (cause of PTC: ? kidney disease or clotting problems)
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Giant cell arteritis is a condition that can cause vision loss, new persistent headaches, scalp tenderness, and jaw pain with chewing. It is due to inflammation of blood vessels primarily of the head and neck.
Oana M. Dumitrascu, MD, MSc,a Oksana Volod, MD,b Swaraj Bose, MD,c Yao Wang, MD,c Valerie Biousse, MD,d,e,f and Patrick D. Lyden, MDa
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