Intended for healthcare professionals

Letters Raised inflammatory markers

ESR can be normal in giant cell arteritis and polymyalgia rheumatica

BMJ 2012; 344 doi: (Published 28 February 2012) Cite this as: BMJ 2012;344:e1408
  1. Toby Helliwell, general practitioner and NIHR in practice research fellow1,
  2. Sara Muller, research associate: clinical epidemiology1,
  3. Samantha Hider, clinical lecturer and honorary consultant rheumatologist1
  1. 1Arthritis Research UK Primary Care Centre, Keele University, Keele ST5 5BG, UK
  1. t.helliwell{at}

It is potentially dangerous to suggest that normal inflammatory markers can be used to rule out illnesses such as giant cell arteritis and polymyalgia rheumatica.1 Although patients with polymyalgia rheumatica will …

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