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Letters Carotid atherosclerosis

Giant cell arteritis can occur in the absence of a raised ESR

BMJ 2013; 346 doi: (Published 16 April 2013) Cite this as: BMJ 2013;346:f2290
  1. Elisabeth De Smit, ophthalmology specialist trainee1,
  2. Eoin O’Sullivan, consultant ophthalmologist2
  1. 1King’s College Hospital, London, UK
  2. 2St Thomas’ Hospital, London SE1 7EH, UK
  1. desmitel{at}

In their clinical review, Thapar and colleagues recommend measuring the erythrocyte sedimentation rate (ESR) if arteritis is suspected.1 However, giant cell arteritis can …

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