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Updated: Jan 12, 2026

An Immunohistopathologic Study to Profile the Folate Receptor Beta Macrophage and Vascular Immune Microenvironment in Giant Cell Arteritis
Published on: February 8, 2019
You Never Think Enough About Giant Cell Arteritis
Natalia Shor1, David Saadoun2, Valérie Touitou3
1Department of Neuroradiology, Pitié-Salpêtrière Hospital, Sorbonne University, Paris, France.
Giant cell arteritis (GCA) diagnosis can be difficult, especially with normal C-reactive protein (CRP) levels. This case highlights the importance of considering GCA in elderly patients with paracentral acute middle maculopathy (PAMM) even with negative CRP.
Area of Science:
- Ophthalmology
- Rheumatology
- Vascular Medicine
Background:
- Giant cell arteritis (GCA) diagnosis can be challenging, particularly when C-reactive protein (CRP) levels are not elevated.
- Paracentral acute middle maculopathy (PAMM) is an ocular finding that can present in GCA.
- Aortoarteritic GCA often presents with systemic inflammatory signs, which may be absent in some cases.
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