Biopsy-negative PET-positive giant-cell arteritisAuthor Response
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Al-Louzi et al.1 reported a patient with temporal arteritis diagnosed by PET scan following a negative temporal artery biopsy (TAB). The patient had strong history for temporal arteritis and an increased erythrocyte sedimentation rate (ESR), prompting a temporal artery biopsy, which was negative. Two weeks later, after discontinuing oral prednisolone, she developed jaw claudication, scalp tenderness, and pelvic and shoulder pain. ESR was 107 mm/h and C-reactive protein was 151.1 mg/L. The patient refused a second temporal artery biopsy but PET scan outlined diffuse radionuclide uptake throughout the aorta, subclavian, and common carotid arteries.
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