title: Reduction in jaw opening: a neglected symptom of giant cell arteritis.
abstract: Reduction in jaw opening is a neglected symptom of giant cell arteritis (GCA) in clinical practice and in the scientific literature. We describe the case of a 71-year-old woman with GCA who was misdiagnosed as occipital neuritis and craniomandibular dysfunction because of headaches in the occipital region and reduction in jaw opening. The reported case reminds us not to overlook reduction in jaw opening as a symptom to reveal GCA in elderly patients.
authors.affiliation: Department of Neurology, Alfried-Krupp-von Bohlen und Halbach Hospital, Alfried-Krupp-Strasse 21, 45117 Essen, Germany. markus.kraemer@krupp-krankenhaus.de
authors.forename: Markus
authors.initials: M
authors.lastname: Kraemer
authors.forename: Alexander
authors.initials: A
authors.lastname: Metz
authors.forename: Michèle
authors.initials: M
authors.lastname: Herold
authors.forename: Conrad
authors.initials: C
authors.lastname: Venker
authors.forename: Peter
authors.initials: P
authors.lastname: Berlit
mesh_terms: D000368:Aged; D017271:Craniomandibular Disorders / Q000175:diagnosis; D003951:Diagnostic Errors; D005260:Female; D013700:Giant Cell Arteritis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006261:Headache / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D007568:Jaw / Q000503:physiopathology*; D009443:Neuritis / Q000175:diagnosis; D009778:Occipital Lobe / Q000473:pathology; D011239:Prednisolone / Q000627:therapeutic use; D013699:Temporal Arteries / Q000000981:diagnostic imaging / Q000473:pathology; D016896:Treatment Outcome; D014313:Trismus / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D014463:Ultrasonography
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone