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Giant Cell Arteritis/Temporal Arteritis


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Suspected new onset and/or active Giant Cell Arteritis

    *Discuss immediately by phone with local Rheumatology service if available (or General/Emergency physician if not) to facilitate access to temporal artery biopsy

  • Category 2
    (appointment within 90 calendar days)
    • Stable Giant Cell Arteritis on treatment
  • Category 3
    (appointment within 365 calendar days)
    • No defined category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Relevant history:
    • with age of onset of symptoms greater than 50 years,
    • onset and time since onset of headaches, visual disturbance, jaw claudication, scalp tenderness
  • Details of treatments offered, glucocorticoids initial dose, tapering and current dose and/or DMARDS (if available)
  • FBC, E/LFT, ESR and CRP

3. Additional referral information Useful for processing the referral

  • Temporal artery biopsy histology
  • Bone mineral density (if available)
  • Other screening previously performed including HepB, HepC, HIV, QuantiFERON Gold (QFG) (if available)
  • PET CT, CXR or US (if available)

4. Request

Last updated: 13 June 2023