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May 7, 1982

Temporal Arteritis Manifested as an Acute Febrile Pericarditis

JAMA. 1982;247(17):2371-2372. doi:10.1001/jama.1982.03320420027021

To the Editor.—  We read with interest the letter by Balcells-Gorina et al (1981;246:1659) about a case of periarteritis nodosa manifested as polyserositis. In this letter, we attempt to demonstrate that serositis can be observed in other forms of inflammatory angiitis, such as temporal arteritis.

Report of a Case.—  A 66-year-old woman was admitted to the hospital after a three-week illness, which consisted of a temperature reaching 39 °C, weight loss, and thoracic pain. A pericardial rub was noted. There was no history of viral or bacterial infection in the upper respiratory tract. The patient complained of neither arthralgia nor diffuse muscular stiffness of the shoulders and pelvic girdle. The skin was normal. No sign of Raynaud's phenomenon was noted. The liver and the spleen were of normal size. There was no pain in the temporal arteries, and palpation was normal. The chest x-ray film revealed a mild cardiomegaly. The