Antonio Ramos, MD; Pedro Laguna, MD; Valentin Cuervas, MD, PhD
To the Editors: A 72-year-old woman presented with a 3-month history of muscle weakness and anorexia followed by nonproductive cough, pleural pain, fever, and progressive dyspnea. She did not have orthopnea, jaw claudication, blurred vision, scalp tenderness, proximal limb pain, tuberculosis, or symptoms of rheumatoid arthritis. Her axillary temperature was 39.1 °C. The temporal arteries were not enlarged or tender. Hypoventilation was noted in the base of the left lung.
Laboratory values included a hemoglobin level of 5.84 mmol/L with normochromic, normocytic indices; and a Westergren erythrocyte sedimentation rate of 120 mm/h. A chest roentgenogram showed bilateral pleural effusion. It
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Ramos A, Laguna P, Cuervas V. Pleural Effusion in Giant Cell Arteritis. Ann Intern Med. 1992;116:957. doi: 10.7326/0003-4819-116-11-957_1
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Published: Ann Intern Med. 1992;116(11):957.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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