Jaw Claudication: Causes & Reasons

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Possible Causes for Jaw Claudication

Temporal Arteritis

While physicians should be alert to the significance of visual symptoms or jaw claudication, ophthalmologists should be ready to facilitate prompt TABs when appropriate. [ncbi.nlm.nih.gov]

Clinical features are headache, visual loss, ophthalmoplegia, jaw claudication, temporal headache, with tenderness and thickening on the affected temporal artery. [ncbi.nlm.nih.gov]

MRI results were correlated with jaw claudication in 70 patients. [doi.org]

Amyloidosis

Carpal tunnel syndrome, jaw claudication, and articular deposits of amyloid can also be a manifestation of systemic amyloidosis. [ncbi.nlm.nih.gov]

In a retrospective study conducted by the Mayo Clinic, of a total of 1596 patients, only 12 patients presented with myopathy, pseudohypertrophy, jaw claudication and creatine [scielo.org.co]

Sometimes the angina is accompanied by jaw claudication.25 As we mentioned above, the affected vessels are normally intramyocardial and the epicardial arteries usually fail [revespcardiol.org]

Systemic Amyloidosis

Jaw claudication in primary systemic amyloidosis. Medicine (Baltimore) 65, 173–179 (1986). 18. Salvarani, C. et al. [nature.com]

[…] pseudo-obstruction, voiding dysfunction) Lung Imaging studies Diffuse bilateral interstitial pattern Direct biopsy Histological Skin and soft tissue Clinical Macroglossia, jaw [ncbi.nlm.nih.gov]

Jaw claudication in primary amyloidosis: unusual presentation of a rare disease. J. Rheumatol. 30, 2283–2286 (2003). 20. [nature.com]

Polymyalgia Rheumatica

The patient should be asked about headaches, jaw claudication and visual disturbance. [ncbi.nlm.nih.gov]

GCA is characterized by headache, jaw claudication, and visual disturbances. Constitutional symptoms and elevated inflammatory markers are common to both conditions. [ncbi.nlm.nih.gov]

The diagnosis should be considered in patients aged >50 years presenting with symptoms such as new headache, visual disturbances, jaw claudication or symptoms of PMR. [ncbi.nlm.nih.gov]

Extracranial Giant Cell Arteritis

Distinguishing between jaw pain from other causes (such as temporomandibular joint dysfunction) and true jaw claudication is important – the pain in jaw claudication is a [bpac.org.nz]

Jaw claudication is noted especially when firm foods are chewed. Jaw claudication and diplopia are associated with a higher risk of blindness. [merckmanuals.com]

Depending on the involved arteries, throbbing pain over the temple region, jaw claudication, a tender and hardened temporal artery, temporary loss of vision ( amaurosis fugax [amboss.com]

Giant Cell Aortic Arteritis

Distinguishing between jaw pain from other causes (such as temporomandibular joint dysfunction) and true jaw claudication is important – the pain in jaw claudication is a [bpac.org.nz]

Jaw claudication is noted especially when firm foods are chewed. Jaw claudication and diplopia are associated with a higher risk of blindness. [msdmanuals.com]

[…] clinical features that present in a subacute fashion 10 : a headache (most common) with or without scalp tenderness systemic symptoms (e.g. fever, fatigue, weight loss) jaw [radiopaedia.org]

Optic Nerve Infarction

CLINICAL FEATURES-SYSTEMIC OCULAR  new onset of headache in older  Scalp tenderness,jaw claudication  Fever, anorexia, wt.loss,malaise  Polymyalgia rheumatica(proxim [slideshare.net]

Jaw claudication is less common, but is highly specific for arteritis. [entokey.com]

Other distinguishing features of AAION include a history of jaw claudication, scalp tenderness, weight loss, headache, and fatigue. [glaucomatoday.com]

Rheumatoid Arteritis

“Chewing Gum Test for Jaw Claudication in Giant-Cell Arteritis.” [thecurbsiders.com]

Granulomas form in arterial media Often associated with polymyalgia rheumatica Clinical Presentation Constitutional – fever, fatigue, malaise, weight loss Otorhinologic – jaw [arupconsult.com]

Clinical description GCA often starts insidiously with general symptoms, cranial manifestations (headache, jaw claudication, scalp tenderness, visual loss), and, in about [orpha.net]

Optic Neuropathy

[…] pain provoked by chewing ("jaw claudication"), limb girdle joint pain, fatigue, malaise, low-grade fever, and elevated sedimentation rate and/or C-reactive protein Optic [kellogg.umich.edu]

claudication, myalgia, temporal tenderness The chalky pallor of the optic disc and the presence of cupping on ophthalmoscopy Findings on fluorescein angiography which show [news-medical.net]

In patients with giant cell arteritis, the clinical features include malaise, myalgia, headaches, jaw claudication, and temporal artery tenderness. [symptoma.com]

Myasthenia Gravis

Myasthenia gravis Eye deviation and a drooping eyelid in a person with myasthenia gravis trying to open her eyes Specialty Neurology Symptoms Varying degrees muscle weakness, double vision, drooping eyelids, trouble talking, trouble walking[1] Usual onset Women under 40, men over 60[1] Duration Long term[1] Causes[…] [en.wikipedia.org]

Renal Arteritis

claudication and visual symptoms. [casereports.bmj.com]

Jaw claudication is common. Lower extremity involvement is less common. [online.epocrates.com]

claudication, temporal artery tenderness, amaurosis fugax, decreased temporal pulse, and scalp pain present in the majority of cases [2] [3] [4] [5] [6]. [physio-pedia.com]

Retinal Artery Embolism

Rizzo First published August 2, 2010, DOI: https://doi.org/10.1212/WNL.0b013e3181eb58de A 79-year-old woman developed headache, jaw claudication, and left eye visual loss. [neurology.org]

Patients who have giant cell arteritis are 55 or older and may have a headache, a tender and palpable temporal artery, jaw claudication, fatigue, or a combination. [merckmanuals.com]

Juvenile Temporal Arteritis

Ophthalmic aa or posterior ciliary aa thrombosis --> Amaurosis fugux, opthalmoplegia, blindness (if not treated) A/w: polymyaglia rheumatica (proximal muscle pain, 50%), jaw [learnneurosurgery.com]

Tongue and jaw claudication (pain and fatigue of the jaw and tongue muscles) while chewing. Some patients have a visibly swollen and painful to touch temporal artery. [doctorstrizhak.com]

Jaw claudication with prolonged chewing results from vascular insufficiency to the muscles of mastication. [rheumaknowledgy.com]

Branch Retinal Artery Occlusion

Patients who have giant cell arteritis are 55 or older and may have a headache, a tender and palpable temporal artery, jaw claudication, fatigue, or a combination. [msdmanuals.com]

In addition, he denied any jaw claudication, scalp tenderness, fatigue or headaches that were consistent with giant cell arteritis. [reviewofoptometry.com]

The clinician should also ask about cardinal symptoms of giant cell arteritis that include antecedent headache, jaw claudication, scalp tenderness, joint aches, recent weight [reviewofoptometry.com]

Pulmonary Arteritis

Typical symptoms include headache, temporal artery tenderness and jaw claudication. On rare occasions patients present with complaints related to pulmonary involvement. [journalpulmonology.org]

Jaw claudication is common. Lower extremity involvement is less common. [online.epocrates.com]

Chewing Gum Test for Jaw Claudication in Giant-Cell Arteritis. N Engl J Med. 2016 May 5. 374 (18):1794-5. [Medline]. [Full Text]. Bhatti MT, Frohman L, Nesher G. [emedicine.medscape.com]

IgG4-Related Aortitis

She denied headache, vision changes, and jaw claudication. [uscapknowledgehub.org]

She denied fevers, chills, night sweats, visual changes, jaw claudication, joint pain, or focal neurologic symptoms. Her medications included aspirin and captopril. [jrheum.org]

He denied having head-aches, vision changes, jaw claudication, rash, weakness, orsymptoms of polymyalgia rheumatica.Physical examination on the sixth postoperativeday revealed [dokumen.tips]

Central Retinal Artery Occlusion

An 82-year-old man presented with acute, painless vision loss in the left eye associated with headaches, jaw claudication, and scalp tenderness. [ncbi.nlm.nih.gov]

Patients who have giant cell arteritis are 55 or older and may have a headache, a tender and palpable temporal artery, jaw claudication, fatigue, or a combination. [merckmanuals.com]

MEDS : ASA, Plavix, nitroglycerine PRN and alfalfa pills ROS : denied headaches, jaw claudication, scalp tenderness, weight loss, and loss of appetite EXAM Best corrected [webeye.ophth.uiowa.edu]

Necrotizing Arteritis

[…] artery temporal (giant cell) arteritis presentation of temporal (giant cell arteritis) 1. headache (temporal artery involvement) 2. visual disturbances (ophthalmic artery) 3. jaw [quizlet.com]

claudication and scalp tenderness [ 7, 8 ]. [omicsonline.org]

Giant cell arteritis can present with temporal headache, claudication of the jaw, and visual changes including visual loss. [bobbybukamd.com]

Secondary Optic Atrophy

claudication, fatigue, weight loss and myalgia suggests arteritic ischaemic optic neuropathy due to giant cell arteritis. [patient.info]

claudication and polymyalgia rheumatica; raised erythrocyte sedimentation rate; raised C-reactive protein. [thamburaj.com]

Giant cell arteritis patients usually present with systemic symptoms, including anorexia, weight loss, jaw claudication, headache, scalp tenderness, abnormal temporal artery [webeye.ophth.uiowa.edu]

Ischemic Optic Neuropathy

[…] pain provoked by chewing ("jaw claudication"), limb girdle joint pain, fatigue, malaise, low-grade fever, and elevated sedimentation rate and/or C-reactive protein Optic [kellogg.umich.edu]

claudication, myalgia, temporal tenderness The chalky pallor of the optic disc and the presence of cupping on ophthalmoscopy Findings on fluorescein angiography which show [news-medical.net]

Symptoms such as general malaise, muscle aches and pains, headaches over the temple, pain when combing hair, jaw claudication, and tenderness over the temporal artery may [msdmanuals.com]

Immune Complex-Mediated Small Vessel Vasculitis

claudication, visual loss, palpable, thickened, tender temporal artery, or Giant cell arteritis (GCA) Diminished temporal artery pulsation Absent radial pulses, difficulty [irheuma.com]

GIANT CELL ARTERITIS Presentation • Temporal Headache • Scalp tenderness • Thickened temporal arteries • Jaw claudication • Acute visual loss • Weight loss, anorexia, fever [de.slideshare.net]

claudication (vessels supplying muscles of mastication) Thoracic aorta and its branches Limb claudication, absent pulses and unequal blood pressure, bruits, thoracic aortic [ncbi.nlm.nih.gov]

Systemic Vasculitis

Half of patients suffer jaw claudication, characterised by rapid onset from the start of mastication. [elsevier.es]

Jaw claudication was the most specific symptom of giant cell arteritis (GCA) in a study which correlated positive biopsies with clinical symptoms.4 Of a total of 134 patients [elsevier.es]

Twenty‐two patients (81%) had cephalic symptoms, including jaw claudication in 33%, clinically abnormal temporal arteries in 33%, and neuro‐ophthalmologic symptoms in 11%. [doi.org]

Renoprival Hypertension

• Malaise, anorexia, night sweats, myalgia, +/- fever, jaw claudication • ESR > 50 • Diagnosis .... [docpile.net]

Optic Atrophy Type 4

Typical: Caucasian Women > 65yrs Clinical: o Acute or insidious onset of symptoms: Common: Headache, scalp tenderness, jaw claudication, PMR, Constitutional symtoms Less Common [quizlet.com]

She denied having had any previous ocular symptoms, ocular pain, or systemic symptoms such as headache, muscular pain, or jaw claudication. [molvis.org]

Restart if recurrence JAMA Rational Exam Series: o Symptoms: Jaw claudication and diploplia increased the likelihood of GCA (but occur in only 34% and 9% of GCA patients respectively [quizlet.com]

Benign Abducens Nerve Palsy

She denies any head injury, vision loss, or jaw claudications. Medical history is significant for hypertension, hyperlipidemia, and type II diabetes mellitus. [medbullets.com]

Vasculitis

The sclap may be tender and there may be jaw claudication and sore throat. Involvement of the ophthalmic arteries may lead to loss of vision. [symptoma.com]

In addition, individuals can get jaw claudication, which is when there’s temporal artery insufficiency causing ischemia of the masticatory muscles, leading to pain while chewing [osmosis.org]

Half of patients suffer jaw claudication, characterised by rapid onset from the start of mastication. [elsevier.es]

Uveal Disease

claudication AION (Giant cell arteritis) Vermiform pupillary movement Ptosis and/or diplopia at the end of day [quizlet.com]

[…] to 50 percent of patients with giant cell arteritis present with ocular symptoms that include pain, diplopia, visual loss, and amaurosis fugax, in addition to headache, jaw [aafp.org]

CME after cataract surgery Pigment dispersion syndrome or pseudoexfoliation syndrome Lens changes in angle closure glaucoma Drance (splinter) hemorrhages Scalp tenderness, jaw [quizlet.com]

Exertional Headache

Jaw claudication or visual disturbance. New-onset headache in a patient with a history of HIV infection. [patient.info]

May also have tenderness in temples or jaw claudication. Some brain cancers are more common in older people. [en.wikipedia.org]

Headache associated with visual disturbance or jaw claudication (temporal arteritis). Abnormal physical findings. Headache with fever, rash or neck stiffness. [patient.info]

Necrotizing Vasculitis

A 74-year-old man presented with a 3-month history of headache, jaw claudication, and worsening scalp ulceration. He reported no visual loss or polymyalgia rheumatica. [nejm.org]

We report a case of a man who presented with a 4-week history of bilateral scalp necrosis associated with headache, jaw claudication, temporal artery tenderness, and raised [link.springer.com]

claudication, and worsening scalp ulceration. [nejm.org]

Retinal Artery Occlusion

Patients are usually above the age of 55 years and may have a bilateral visual loss with other symptoms like a temporal headache, temporal artery tenderness, jaw claudication [symptoma.com]

Patients who have giant cell arteritis are 55 or older and may have a headache, a tender and palpable temporal artery, jaw claudication, fatigue, or a combination. [msdmanuals.com]

MEDS : ASA, Plavix, nitroglycerine PRN and alfalfa pills ROS : denied headaches, jaw claudication, scalp tenderness, weight loss, and loss of appetite EXAM Best corrected [eyerounds.org]