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October1,1964,Vol114,No.4>
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Article | October1964
TemporalArteritis
ARarityintheYoungAdult
NICHOLASC.BETHLENFALVAY,MCMARTINL.NUSYNOWITZ,MC
ArchInternMed.1964114(4):487489.doi:10.1001/archinte.1964.03860100069005.
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ABSTRACT|REFERENCES
ToparaphraseHorton, 1thefactthattemporalarteritisoccursinpatientsofadvancedagesuggeststhatthis
diseasemaybeoneofthebitterfruitsofsenility.Werecentlyhadtheopportunitytoseeapatientwho
harvestedthisfruitprematurely.Webelievethisrepresentstheonlycasereportedinayoungpersonwhich
wasdocumentedbybiopsymaterial.
ReportofCaseA35yearoldCaucasiansailorwasadmittedtotheUSArmyTriplerGeneralHospital
becauseofseverelefttemporalheadacheofseveralhours'duration.Concomitantly,thepatientnoted
throbbingandtendernessinthesamearea.Intheprevioustwomonths,hehadsustaineda12lb(5.4kg)
weightloss,frequentnightsweats,andintermittentpaininthelefttemporomandibularjoint.Physical
examinationrevealedatemperatureof98.2F(36.8C)pulse,88bloodpressure,100/82.Adilated,
pulsatingvessel,exhibitingrednessandwarmth,wasnotedinthe
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