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Juvenile temporal arteritis and activated protein C resistance
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  1. B Granel1,
  2. J Serratrice1,
  3. N Ene1,
  4. P E Morange2,
  5. P Disdier1,
  6. P-J Weiller1
  1. 1Service de Médecine Interne, Hôpital de la Timone, 264 rue Saint Pierre, 13385 Marseille, cedex 5, France
  2. 2Laboratoire d’Hématologie, Hôpital de la Timone, 264 rue Saint Pierre, 13385 Marseille, cedex 5, France
  1. Correspondence to:
    Dr P Disdier;
    patrick.disdierap-hm.fr

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Juvenile temporal arteritis (JTA) is a rare benign vascular lesion limited to the branches of the external carotid artery, first recognised by Lie et al.1 Histological features of JTA include vasculitis (without giant cells and granulomas), lymphocytes infiltrate, and fibrous intimal proliferation.1 Despite frequent local arterial thrombosis associated with the lesion, no study on the coagulation pathway has been undertaken until now. We present an exceptional case of JTA occurring in a man in association with activated protein C resistance.

CASE REPORT

A 34 year old male smoker (12 cigarettes/day), without past medical history, consulted in January 2001 for right headache associated with swellings of both temples. Temporal regions were painful when he wanted to brush his hair. No visual or systemic symptoms occurred. Physical examination showed no pulse of the right temporal artery and a pulse of the …

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