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January 22, 1982

Temporal Arteritis Associated With Normal Sedimentation Rate

JAMA. 1982;247(4):486-487. doi:10.1001/jama.1982.03320290032025

TEMPORAL arteritis confronts the clinician with many problems, the most important of which is to make an early diagnosis. In a society whose average age is increasing, temporal arteritis probably will become increasingly frequent. It behooves us also to remember that the occult form of temporal arteritis might be more common than the classic variety.1 The purpose of this report is to emphasize once again the importance of early recognition and prompt treatment2 and to caution the clinician that patients younger than 50 years can have this entity.

Report of a Case  A 48-year-old man had recurrent amaurosis fugax of the right eye develop over a two-week period. Ten weeks before examination, central retinal artery occlusion (CRAO) of the left eye developed without evidence of retinal embolism. Massage to the globe and acetazolamide (Diamox) failed to achieve any degree of visual recovery, and he remained with visual acuity limited to