DOES THIS PATIENT HAVE TEMPORAL ARTERITIS?

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Have your consultants ever seen a case of temporal arteritis present with an isolated C5 radiculopathy and peripheral (lower motor neuron) facial-nerve palsy one month prior to ocular findings?
—Jeffrey Galvin, MD, Fairview Park, Ohio

Although I have not heard of radiculopathy or facial palsy preceding temporal arteritis, I myself have reported on an excess of infections in the two months preceding flares of temporal arteritis, suggesting this as a triggering event. New research does suggest bacterial antigen as a potential trigger.
—Jack Waxman, MD (114-3)

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