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Correspondence
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Volume 360:1153-1155 March 12, 2009 Number 11
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Case 36-2008: A Man with Chronic Daily Headache

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 by Brass, S. D.
-PubMed Citation
To the Editor: In the discussion of the Case Record of a man with chronic daily headache, by Brass et al. (Nov. 20 issue),1 the thrombocytosis in this patient with giant-cell arteritis should have been noted.2 A platelet count of approximately 430,000 was present 2 to 3 months before admission, and it rose to 670,000 on the second hospital day. The presence of an elevated erythrocyte sedimentation rate, an elevated C-reactive protein level, and an elevated platelet count in the right clinical setting would also have strongly suggested giant-cell arteritis.


Francis J. Mwaisela, M.D.
St. Joseph Medical Center
Towson, MD . . . [Full Text of this Article]




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