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Case ReportCase Report

Temporal Arteritis: An Atypical Presentation

James Nuovo
The Journal of the American Board of Family Practice March 1991, 4 (2) 115-118; DOI: https://doi.org/10.3122/jabfm.4.2.115
James Nuovo
From the Department of Family Medicine, University of Washington, Seattle. Address reprint requests to James Nuovo, M.D., Department of Family Medicine, RF-30, University of Washington, Seattle, WA 98195.
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Abstract

Temporal (giant cell) arteritis is a systemic granulomatous vasculitis primarily involving branches of the carotid arteries in patients aged 50 years and greater. Its classic symptoms and signs are headache and elevated erythrocyte sedimentation rate (ESR), but this is not the only presentation. This case is the first reported in a Korean, whose chief complaint was pain in the tongue and headaches and whose ESR was normal. The diagnosis was confirmed by biopsy. Her symptoms abated when treated with prednisone, but she developed diabetes mellitus, osteoporosis, and compression fracture of lumbar vertebrae while being treated. Primary physicians should become aware of the atypical features of this disease, as well as the potential complications of treatment.

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The Journal of the American Board of Family     Practice: 4 (2)
The Journal of the American Board of Family Practice
Vol. 4, Issue 2
1 Mar 1991
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Temporal Arteritis: An Atypical Presentation
James Nuovo
The Journal of the American Board of Family Practice Mar 1991, 4 (2) 115-118; DOI: 10.3122/jabfm.4.2.115

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Temporal Arteritis: An Atypical Presentation
James Nuovo
The Journal of the American Board of Family Practice Mar 1991, 4 (2) 115-118; DOI: 10.3122/jabfm.4.2.115
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