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Letter
Intra-alveolar haemorrhage in temporal arteritis
  1. D Le Thi Huong,
  2. M R Andreu,
  3. P Duhaut,
  4. P Godeau,
  5. J C Piette
  1. Department of Internal Medicine, Groupe Hospitalier Pitié-Salpêtrière, 83 bd de l’Hôpital, 75013 Paris, France
  1. Correspondence to:
    Dr D Le Thi Huong;
    du.boutin{at}wanadoo.fr

https://doi.org/10.1136/ard.62.2.189

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    Temporal arteritis (TA) is the most common systemic vasculitis. We report herein a case of TA complicated with intra-alveolar haemorrhage. To our knowledge, this manifestation has not previously been reported.

    CASE REPORT

    A woman born in 1926 presented in 1999 with persistent dry cough and raised erythrocyte sedimentation rate at 60 mm at the first hour. C reactive protein was 14 mg/l. She had a history of pulmonary tuberculosis treated in 1951 with streptomycin and p-aminosalicylic acid. She complained of headache without fever, jaw claudication, scalp tenderness, and visual or musculoskeletal manifestations. She denied any other upper airways symptoms. Physical examination was normal. Arterial pressure was 140/70 mm Hg. Leucocyte count was 6.8×109/l with 4.2×109/l polynuclear neutrophils and 0.2×109/l eosinophils, haemoglobin 130 g/l, and platelets 310×109/l. A dipstick …

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