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Br J Ophthalmol 2002;86:114-115 doi:10.1136/bjo.86.1.114-a
  • Letter

Rapidly developing intimal fibrosis mimicking giant cell arteritis

  1. A Petzold1,
  2. G T Plant1,
  3. F Scaravilli2
  1. 1Moorfields Eye Hospital, City Road, London EC1 2PD, UK
  2. 2Department of Neuropathology, Institute of Neurology, Queen's Square, London WC1N 3BG, UK
  1. Correspondence to: Dr Petzold
  • Accepted 9 July 2001

Temporal headache associated with a tender superficial temporal artery and decreased pulse on palpation are characteristics of giant cell arteritis. We report the clinical and biopsy findings in a patient in whom these symptoms were caused by a rapid developing intimal fibrosis.

Case report

A 51 year old woman presented with a 2 month history of a tender and painful left superficial temporal artery (STA). First she noticed a “thickened cord” on the left temple which felt pulsatile on palpation. Within 6 weeks the throbbing pulse disappeared and was followed by tenderness and pain. She also reported arthritic pain in …

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