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CLINICIAN'S CORNER
An 81-Year-Old Woman With Temporal Arteritis
Robert H. Shmerling, MD, Discussant
JAMA. 2006;295:2525-2534.
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INTRODUCTION
DR SHIP: Mrs V has been generally in good health. About 7 days before her presentation, she developed an atypical headache. She also noticed difficulty opening her mouth, pain behind her eye, and some unusual lumps on her head. She recalls upper respiratory infection symptoms in the week before her headache. Her symptoms were intermittent. She had no fever or chills, no joint pain or weakness, and no systemic symptoms. She took no medications for her symptoms. She then woke with a booming headache and sought care. Her physician was concerned about her symptom complex; she started taking prednisone and a temporal artery biopsy was scheduled for the next day.
Her past medical history is significant for hypertension, a right heel fracture, a right ankle fracture, toxic multinodular goiter, lichen planus, and allergic rhinitis. Her current medications include 180 mg . . . [Full Text of this Article]
MRS V: HER VIEW
AT THE CROSSROADS: QUESTIONS FOR DR SHMERLING
What Is Temporal Arteritis? When Should the Diagnosis Be Considered? How Is the Diagnosis of Temporal Arteritis Established? How Useful Is the Temporal Artery Biopsy? How Is Temporal Arteritis Treated? What Is the Prognosis of Patients With Temporal Arteritis? Recommendations for Mrs V
CONCLUSIONS
QUESTIONS AND ANSWERS
AUTHOR INFORMATION
Author Affiliation: Dr Robert H. Shmerling is Associate Professor of Medicine, Harvard Medical School, and Associate Physician at Beth Israel Deaconess Medical Center, Boston, Mass.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Update: An 81-Year-Old Woman With Temporal Arteritis
Farag and Ship
JAMA 2007;298:2536-2536.
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