All test neg.: How did they know you have GCA? All... - PMRGCAuk

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All test neg.

viamonv profile image
10 Replies

How did they know you have GCA? All my tests have been neg or normal. Bloodwork, bio and MRI. But they still say I have it.

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viamonv profile image
viamonv
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10 Replies
SnazzyD profile image
SnazzyD

Hello, currently unless you have a positive biopsy or ultrasound scan which many don’t, they can’t be certain. False negatives do occur so they have to treat you anyway because of the risk of going blind if they don’t and you are positive really. Bloods can be unremarkable too. They then have to go by symptoms, history of them and your response to an appropriate dose of Prednisolone. All my tests were negative but 60mg Pred got rid of my head symptoms within 2 hours when painkillers did nothing.

viamonv profile image
viamonv in reply toSnazzyD

Thats was me as well. I just couldn't believe everything was neg.

My ESR was slightly elevated and my CPR was normal... The specialist refused to do the TAB as he said the risk out weighted the benefits and there was only a 1/500 chance he would actually find inflammation. He and the A&E doctor, agreed that based on my symptoms, I should be put on steroids as a diagnostic tool. If I improved, we'd all assume it was GCA; if I did not improve, they'd look at other possible causes.

I improved 60% in less than 12 hours. After increasing the Pred to 60mg, I improved 99% in less than 8 more hours.

Lucky freakin me, huh?

Rusty8 profile image
Rusty8 in reply to

Did you have FC’s then if so could please tell me what made you think you had it

I have a problem with my eyes

They are very blurry on looking at telly and reading and a bit watery in the corners

Would appreciate anyone help

Thank you

PMRpro profile image
PMRproAmbassador in reply toRusty8

Blurriness and the other signs you mention can be due to "dry eye" and it is common with PMR and pred. Ask your optician to have a look.

viamonv profile image
viamonv in reply toRusty8

Terrible pain in right temple and right side of face.. All tests neg but the meds took the pain away.

SheffieldJane profile image
SheffieldJane

They are going purely on your symptom picture. Better to be safe than sorry.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Symptoms, symptoms...and symptoms!

Just be grateful they are not saying...you can’t have GCA your tests are normal, and therefore not treating you.

PMRpro profile image
PMRproAmbassador

There are no specific tests to confirm GCA except the temporal artery biopsy which, IF IT IS POSITIVE, is 100% accurate. However - being negative does NOT mean it isn't GCA, it means they didn't find what they were looking for. The diagnosis is a clinical one: made on symptoms and clinical history plus response to pred. Better a bit too much pred than not enough!

viamonv profile image
viamonv

Thank you all. I love this page it is so helpful and to all of you.

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