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Neurology (Expert Forum)
Hyerthroidism to cause Temperal Arteritis or polymyalgia rheumatica?
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Hyerthroidism to cause Temperal Arteritis or polymyalgia rheumatica?
by ddcile, Jan 05, 2002 12:00AM
Can you have hyerthyroidism with temperal arteritis? I have all the symptoms of polymyalgia rheumatica too, : (severe aching in the proximal muscles of the shoulder and hips ).My TSH is 0.01 ANA panel is 1.7 positive and speckeled. They are doing a Sed rate now. I had severe shakiness, full blown dilated left pupil, and tender coratids and temperal artery. I am under Dr. care and they are investigating. Any thoughts would be greatly appreciated.
Doctor's Answer
by CCF-Neuro-M.D.-JT, Jan 05, 2002 12:00AM
As you know, there is a known association between PMR and temporal arteritis, which is diagnosed by biopsy of the temporal artery, clinical findings, and an elevated sed rate. The association between thyroid dysfunction and temporal arteritis however is controversial. There are several studies that say they are, and a recent French study that did not show any link. But the gist of it is, there's probably some kind of autoimmune process that's going on causing all of these problems. A more generalized vasculitis, (more extensive inflammation of your arteries) is also a possibility. In the midst of your workup, your docs should consider an MRI of your brain and the ARTERIES in your brain for a thorough evaluation, epsecially with the abnormal pupil. If the MRI of the arteries is abnormal, then possibly a cerebral angiogram may be necessary. Treatment would be anti-inflammatory agents such as steroids and of course thyroid treatment with radioablative therapy or whatever your endocrine doc recommends. Good luck.
I have done what you suggested, all the test you thought necessary, and all came out Ok, no MS, no PMR, no anurysm, ect.
They found hyperthyroid and they even beleive my fibromyalgia might get better with my treatments. Cross your fingers! Hope you stay well, and thankyou for your thoughts. I E-mailed you a ? on the other area od questions farther down. Take care and stay healthy!
Sincerely, ddcile