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Giant-Cell Arteritis

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The Mason Clinic; Seattle, Washington

Ann Intern Med. 1978;88(5):710. doi:10.7326/0003-4819-88-5-710
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Although Horton described temporal arteritis in 1932, the syndrome did not get much attention until the past decade. As shown by the epidemiologic study of Huston and colleagues, reported in this journal 3 months ago (1), it is not a rare disease in elderly persons. Best known is the picture of temporal arteritis: An elderly patient has severe headache, tender thickened temporal artery, and a very rapid erythrocyte sedimentation rate. But the disease is not localized to the temporal artery. Arteriographic studies and postmortem examinations have shown that the giant-cell inflammation may involve the aorta, its branches, and any medium-


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