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February 1991

Giant Cell Arteritis: A Case With Unusual Neurologic Manifestations and a Normal Sedimentation Rate

Author Affiliations

From the Division of Rheumatology, Vanderbilt University School of Medicine, and the Department of Medicine, St Thomas Hospital, Nashville, Tenn.

Arch Intern Med. 1991;151(2):378-380. doi:10.1001/archinte.1991.00400020122024

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)

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