Healio Rheuminations

The history of giant cell arteritis: Infections, injections and the man who couldn't wear a hat


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What does a goiter and syphilis have in common with the first descriptions of giant cell arteritis? Join us as we dive into the history of the most common type of vasculitis!

  • Intro 0:13
  • GCA at ACR 2025 00:30
  • How Brown has approached framing this episode 1:01
  • A primer leading us to GCA 3:15
  • Let's get to the story 4:02
  • The man who couldn't wear a hat 4:57
  • Dr. Bayard Horton's 7:40
  • A tangent on cluster headaches 8:27
  • Let's get back to GCA 13:16
  • The first temporal artery biopsy 14:28
  • Vision loss and other puzzle pieces of GCA 16:27
  • What about jaw claudication? 21:15
  • Could GCA be transmissible? Injecting ground temporal arteries into healthy volunteers 24:13
  • Oxygen? Histamines? Adrenal cortical extract? Looking for GCA treatments 26:55
  • Steroids and GCA 28:40
  • A quote from the 1959 Mayo Clinic Board of Governors 32:24
  • Extracranial involvement in GCA 33:24
  • When did we recognize aorta involvement? Syphilis enters the picture 35:08
  • A recap of the history of GCA 41:25
  • Thanks for listening 42:19

We'd love to hear from you! Send your comments/questions to Dr. Brown at [email protected]. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.

References:

Boes CJ, Cephalalgia. 2007;doi:10.1111/j.1468-2982.2007.01238.x

Cummer CL, et al. JAMA. 1912;doi:10.1001/jama.1912.04270080101004

Horton BT, Proc Cent SOC Clin Res. 1946

Sproul EE, et al. Am J Pathol. 1937;PMID: 19970328

Disclosures: Brown reports no relevant financial disclosures.

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Healio RheuminationsBy Adam J. Brown, MD

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