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17 December 2007

Temporal arteritis in Nigeria – case for diagnosis three case reports

Joseph Momodu Waziri-Erameh, Afekhide Ernest Omoti, Chinyere Nnenne Pedro-Egbe

Case Rep Clin Pract Rev 2007; 8:345-348 :: ID: 628119

Abstract

Background: Temporal Arteritis has Low diagnosis and or under reporting in blacks including Nigerians. This is contributed to by the wide variety of presenting symptoms; known poor expression of symptoms by patients; low acceptance of temporal artery biopsy and lack of newer sophisticated investigative and diagnostic tools. The cases in this report which were seen over an 8 year period were as a result of clinical suspicion, positive ESR investigation and satisfactory response to systemic steroid medication.
Case Report: The patients of this case reports were seen over an 8 year period at the University of Benin Teaching Hospital Benin City, Nigeria. The fi rst patient was a female with headache worse on the left side radiating to the left eye. The second patient was a retired female school teacher with myalgia, headaches and poor vision. The third patient was a female with poor vision tearing and headache. All three patients had elevated ESR, headaches, responded well to systemic steroid medication and were all above 60 years of age.
Conclusions: Temporal arteritis we believe is not too uncommon in Nigerians including Africans. It is a problem of under diagnosis and or misdiagnosis due to similar symptoms with common conditions such as malaria, non availability of sophisticated diagnostic tools, wide spread self medication and poor expression of symptoms by many affl icted patients.

Keywords: Temporal Arteritis, headaches, low diagnosis

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923