[Skip to Navigation]
Article
September 1978

Giant Cell Arteritis With Normal Sedimentation Rate

Author Affiliations

Dept of Neurol Middlesbrough Gen Hosp Middlesbrough, Cleveland TS5 5A2 England

Arch Neurol. 1978;35(9):620. doi:10.1001/archneur.1978.00500330068023

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

To the Editor.—  Kansu and colleagues (Arch Neurol 34:624-625, 1977) have written an interesting article on giant cell arteritis with normal sedimentation rate. Most neurologists will have seen similar cases but without the welcome biopsy confirmation offered by this report. I wish to illustrate a further point with reference to the onset of cranial arteritis during the concurrent suppression of another disorder with corticosteroids.

Report of a Case.—  A 69-year-old woman suffered intermittent left-sided headaches for many years, characteristic of migraine. For three years her late-onset asthma had been suppressed with prednisone, 10 mg daily. She had a 15-day history of poorly localized excruciating right-sided headaches and associated scalp tenderness. Three days before being seen, she noticed diplopia and blurred vision on the right. Examination disclosed a right sixth nerve palsy, a pale optic disk with paucity of retinal vessels on that side, and diminished visual acuity. Palpation of scalp

First Page Preview View Large
First page PDF preview
First page PDF preview
×