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November 1986

Temporal Arteritis After Normalization of Erythrocyte Sedimentation Rate in Polymyalgia Rheumatica

Author Affiliations

From the Department of Medicine, University of California, San Francisco and the Medical Service, Veterans Administration Medical Center, San Francisco.

Arch Intern Med. 1986;146(11):2283-2284. doi:10.1001/archinte.1986.00360230229033

• We describe a 72-year-old woman with classic presentation of polymyalgia rheumatica and an elevated erythrocyte sedimentation rate. After treatment with low-dose corticosteroids and normalization of the sedimentation rate, hematocrit, and serum alkaline phosphatase, she developed symptoms and biopsy proved temporal arteritis. In patients with polymyalgia rheumatica and an initially elevated sedimentation rate, normalization of the sedimentation rate with corticosteroid therapy does not exclude the need for temporal artery biopsy if the symptoms warrant it.

(Arch Intern Med 1986;146:2283-2284)