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Amrutlal J. Barot, MD; Chris K. Finton, MD; William L. Brannon, Jr, MD; Terrence L. Riley, MD

JAMA. 1980;243(1):61.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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 Case

A 70-year-old man in otherwise . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Neurology (Drs Barot, Brannon, and Riley) and Medicine (Dr Finton), National Naval Medical Center, and the Uniformed Services University of the Health Sciences (Drs Brannon and Riley), Bethesda, Md.

Footnotes
The opinions expressed herein are those of the authors and do not necessarily reflect the views of the US Navy or the Department of Defense.

Reprint requests to Department of Neurology, National Naval Medical Center, Bldg 7, Room 17, Bethesda, MD 20014 (Dr Riley).

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