Temporal Arteritis Without Pain

Autor: Barot, Amrutlal J., Finton, Chris K., Brannon, William L., Riley, Terrence L.
Zdroj: JAMA: Journal of the American Medical Association; January 1980, Vol. 243 Issue: 1 p61-61, 1p
Abstrakt: TEMPORAL or cranial arteritis, also called giant cell arteritis because of histological features, is an inflammatory disorder that occurs primarily among the elderly. Characteristic symptoms include tenderness of the scalp, palpable superficial scalp or facial arteries, and headache, eye pain, or facial pain. Also frequently associated are fever, anorexia, arthralgia, and general malaise.1 Headache2 or, especially, facial pain are usually considered hallmark symptoms. Furthermore, the ESR is almost invariably elevated to a notable degree.3 Symptoms and progression of the disease are usually easily and swiftly reversed with oral corticosteroid therapy.4 In light of the treatable nature of the disease, it is unfortunate that signs and symptoms may be unrecognized for several months before a diagnosis is made. We report the case of an elderly man in whom diagnosis was initially doubted because of the absence of pain.Report of a CaseA 70-year-old man in otherwise
Databáze: Supplemental Index