PT  - JOURNAL ARTICLE
AU  - James Nuovo
TI  - Temporal Arteritis: An Atypical Presentation
AID  - 10.3122/jabfm.4.2.115
DP  - 1991 Mar 01
TA  - The Journal of the American Board of Family
                Practice
PG  - 115--118
VI  - 4
IP  - 2
4099  - http://www.jabfm.org/content/4/2/115.short
4100  - http://www.jabfm.org/content/4/2/115.full
SO  - J Am Board Fam Med1991 Mar 01; 4
AB  - 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.