Dear Dr Rick,
I certainly will take note of your high regard for temperal artery biopsy as better method for determining GCA. However, my wife is rather apprehensive of the pain & the higher risk involved with any biopsy. She has had breast biopsy before which had left her unpleasant memories.
My wife also does not have enough confidence in local medical profession in performing TA biopsy. The temperal parts of the head is a rather sensitive area for performing TA biopsy!
The botXXXXX XXXXXne is my wife cares much about the appearance of her right eyelid being tilted upwards and her eye globe being slightly bulging, ie. how she looks! It now appears that her right eye possess a somewhat 'angry stare' although she is at a normal stance! She'll be v. happy if I could get to the bottom of what caused her eyelid tilt & slightly bulging globe, and hopefully arrive at a cure for them.
What causes these 2 sypmtoms?
Could GCA have caused this 'angry stare' look of the right eye?
Or, optic neuralitis, for that matter?
Could we hazard a guess that both these ailments are caused by earlier infection by 2 bouts of flu, or by the consumption of certain antibiotics during flu? Or, caused by severe fatique during this period?
Would these 3 causes lead to GCA or some form of eye muscle weakness, or optical neuralitis, leading to my wife's tilted eyelid and bulging eye conditions?
During previous bouts of flu, my wife was taking a broad spectrum antibiotic called 'levofloxacin' manufactured by Daiichi Sankyo Pharmaceutical (Beijing) Ltd.
Although this antibiotic professes to be v. effective for flu administered by local medical profession, its manufacturer stated it had up to 5% patients with various undesired side-effects. How likely would GCA & other inflammation caused by side-effects of this antibiotic?
Hope you will be patient with me, and with my wife for that matter, thank you.
Look forward to your thoughts, best regards.