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October 1959

The Prognosis in Temporal Arteritis

AMA Arch Ophthalmol. 1959;62(4):641-644. doi:10.1001/archopht.1959.04220040103014

The clinical picture of temporal arteritis was first described1 by an English surgeon, Jonathan Hutchinson, in 1889. He told of an elderly "gentlemen's servant" who complained of "red streaks on his head which were painful and prevented his wearing his hat. The red streaks proved, on examination, to be his temporal arteries which on both sides were found to be inflamed and swollen." Temporal arteritis was not defined as a disease entity until 1932, by Horton, Magath, and Brown.2 Since then over 300 cases have been reported in the literature in an impressive number of articles.

Temporal arteritis is recognized as a relatively uncommon disease of obscure etiology, occurring in people from 52 to 84 years of age. Usually it is characterized by a persistent, low-grade fever and a severe headache, most intense in the region of the prominent, tender temporal arteries. Many patients complain of pain on

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