Giant cell arteritis (GCA) is the most common of the systemic vasculitides [ 1 ]. GCA is also a classic systemic rheumatic disease of older adults; it virtually never occurs in individuals younger than 50 years of age and peaks in incidence in the seventh decade [ 2 ]. Although all ethnic groups can be affected, most patients with GCA are white [ 3 ]. Many of the symptoms and signs of GCA result from involvement of the cranial branches of arteries that originate from the aortic arch, but, as the disease is systemic, vascular involvement can be widespread.
Taking both a steroid and aspirin can greatly increase your risk of developing a stomach ulcer. If you take this combination of medicines it is commonly advised that you also take a medicine to reduce the acid in your stomach. The aim is to prevent the serious complication of a bleeding stomach ulcer from developing. PPIs are a group (class) of medicines that work on the cells that line the stomach, reducing the production of acid. They include esomeprazole , lansoprazole , omeprazole , pantoprazole and rabeprazole . They come in various different brand names. One of these will normally be advised if you take a steroid and aspirin.