Polymyalgia Rheumatica and Giant Cell Arteritis
This monograph offers current insights into polymalgia rheumatica and giant cell arteritis. Both diseases are typical for advanced age and their incidences increase with aging. Early diagnosis and rapid treatment can save one of the most precious senses -
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myalgia Rheumatica and Giant Cell Arteritis
SpringerWienNewYork
Editors Prof. Jozef Rovenský, MD, DSc, FRCP, Slovakia Dr. Burkhard F. Leeb, Austria Prof. Howard Bird, MD, FRCP, United Kingdom Prof. Viera Štvrtinová, MD, PhD, Slovakia Dr. Richard Imrich, Slovakia
Printed with financial support of Roche Slovensko s.r.p., Nycomed Slovakia s.r.o. and Abbot Slovakia Ltd. This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Product liability: The publisher can give no guarantee for the information contained in this book. This does also refer to information about drug dosage and application thereof. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. © 2007 SAP – Slovak Academic Press, Slovakia © 2010 Springer-Verlag/Wien Printed in Germany SpringerWienNewYork is part of Springer Science+Business Media springer.at The publisher and editor kindly wish to inform you that in some cases, despite their efforts to do so, the obtaining of copyright permissions and usage of excerpts of text is not always successful. Photo Credits: © Nguyen GK, Lee MW, Ginsberg J, Wragg T, Bilodeau D.: Coverphoto © with courtesy of Assoc. Prof. MD. I. Makaiová, PhD.: PET scan – in Giant cell arteritis, fig. 23 and 24 (p. 91) © all other figures with courtesy of the editors and authors Cover Design: WMXDesign GmbH, Heidelberg, Germany Typesetting: le-tex publishing services GmbH, Leipzig, Germany Printing and binding: Strauss GmbH, Mörlenbach, Germany Printed on acid-free and chlorine-free bleached paper SPIN: 12555901 Library of Congress Control Number: 2009930748 With 27 colored figures ISBN 978-3-211-99358-3
SpringerWienNewYork
Preface
In the present monograph, we offer current insights into polymyalgia rheumatica and giant cell arthritis. Both diseases are typical for advanced age, and their incidences increase with aging. Both diseases are a center point of interest not only for rheumatologists, gerontologists, ophthalmologists or neurologists, but also for general practitioners. Early diagnosis and rapid treatment, mainly with glucocorticoids can save one of the most precious senses-vision. Damage to other organs (heart, aorta, coronary arteries, liver, lungs, kidneys), which are supplied by the arteries affected by ischemic syndrome in the setting of giant cell arthritis, has serious consequences as well. Late diagnosis of giant cell arthritis can have fatal consequences for affected patients. It is a matter of fact that the human population is aging. Therefore, more attention has to
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