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Giant Cell ArteritisA Case With Unusual Neurologic Manifestations and a Normal Sedimentation Rate
Pamela R. Neish, MD;
John S. Sergent, MD
Arch Intern Med. 1991;151(2):378-380.
Abstract
Giant cell (temporal) arteritis is a serious inflammatory condition that can lead to blindness, stroke, or other adverse sequelae if not properly treated. An elevated erythrocyte sedimentation rate has traditionally been emphasized as a criterion for making this diagnosis. Delays in diagnosis and unnecessary testing may occur when a patient presents with a normal erythrocyte sedimentation rate and a clinical history consistent with this condition. We describe a patient with giant cell arteritis who presented with a normal erythrocyte sedimentation rate and who subsequently developed devastating central nervous system complications.
(Arch Intern Med. 1991;151:378-380)
Author Affiliations
From the Division of Rheumatology, Vanderbilt University School of Medicine, and the Department of Medicine, St Thomas Hospital, Nashville, Tenn.
Footnotes
Accepted for publication February 14, 1990.
Reprint requests to Department of Medicine, St Thomas Hospital, PO Box 380, Nashville, TN 37202 (Dr Sergent).
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