Temporal/Giant cell arteritis can cause critical ischaemia and should be treated as
a medical emergency. Visual loss occurs in up to 20% of patients; early recognition
and prompt treatment is essential to minimise complications. The Royal College of
Physicians (RCP) guidelines advise high-dose glucocorticoid prescription on suspicion
of the condition, the gold standard for diagnosis is a Temporal Artery Biopsy (TAB)
with (in-vivo) specimen length of >1cm with the biopsy performed within 4-6 weeks
of commencing treatment. This audit assesses whether or not we have met best practice
guidelines, and evaluates if the pre-auricular biopsy technique (vs. Gillies’ temporal
technique) improves diagnostic yield and biopsy length.
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