robin082006
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A 62-year-old White American man comes to your clinic complaining of severe left-sided headaches that are often associated with nausea. Occasionally they are associated with visual black outs. He has been complaining of these symptoms for 6 weeks and usually experiences 20 episodes per month. Response to NSAIDs is variable. He has also been complaining of fever for the last few weeks. He denies cough, dyspnea or neck stiffness. Examination reveals tenderness over temporal region. Lab is significant for elevated ESR of 90 mm/hr. Biopsy of temporal artery is sent for histological examination. A course of prednisolone has been started. Which of the following is the most common complication of his disease?
A. Thoracic aortic aneurysm
B. Non-Hodgkin's lymphoma
C. Glaucoma
D. Coronary artery aneurysm
E. Angiosarcoma
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| mjl1717
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thoracic aortic aneurysms are 17 times more common.! --good q.
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