“Is my very visible superficial temporal artery a sign of giant cell arteritis?”
I'm sure it's the artery (not vein) because it is colorless (not bluish), snakelike and I can CLEARLY feel my pulse at any point along its course. I palpated both temples at the same time, and pulse can be felt in both left and right temples at the same time.
At first, I didn't think much of it, but last night I figured I better look it up to be sure - and of course I came across Giant Cell Arteritis (also referred to as Temporal Arteritis).
So, looking at the symptoms and risk factors of GCA here is the pertinent information:
I am:
-40 y.o.
-Male
-I've had a left-side headache every day for going on 15 years now, especially behind the left eye. Sometimes it is worse, sometimes it is better - but always there. So, this makes it difficult to know if a new headache/pain has developed due to GCA. I don't think it has.
-No new eye/vision issues
-No pain on chewing, except sometimes my one tooth hurts on left side (believe this is unrelated)
-No jaw pain
Other medical conditions:
-ME/CFS and Fibromyalgia (severe, mostly wheelchair-bound with muscle weakness, muscle burning, and fatigue...even speaking for longer than 15 minutes is difficult)
-Had TIA 13 years ago.
-2 DVT's in my legs years ago. Likely due to being mostly bedbound for a period of a few months.
-Take Pradaxa 2x per day (last 1 year). Was previously on Coumadin (b/c of the DVT's) for last about 8 years.
-In addition to autoimmune issues I've already mentioned, I've had seborrheic dermatitis and tinea versicolor for years (likely due to lowered immunity).
Unfortunately, I've been housebound for the last 2 years, so popping out to get this checked isn't possible. I do have the ability to order a home CRP test.
My questions are:
-Is a CRP about as good as an ESR test to rule out GCA?
-With me being under 40 years old, male, and no new severe headache
- What are the chances this is GCA? So low that I shouldn't be concerned?
If it weren't a big deal, I'd just add it to the list of health issues, but untreated
GCA can result in severe complications (vision loss), so I wanted an expert opinion.
Male | 40 years old
Complaint duration: 10 Days
Medications: Pradaxa
Conditions: ME/CFS, Fibromyalgia, DVT, TIA, Diastolic Orthostatic Hypotension, Asymptomatic Mitral Valve Prolapse, Sebhorreic Dermatitis, Tinea Versicolor