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Research Letters | Oct 2012

Florid Arteritis Confined to a Single Branch of the Superficial Temporal Artery

Sung-eun E. Kyung, MD, PhD; Michael K. Yoon, MD; J. Brooks Crawford, MD; Jonathan C. Horton, MD, PhD

Arch Ophthalmol. 2012;130(10):1347-1348. doi:10.1001/archophthalmol.2012.1204.

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Biopsy of the superficial temporal artery provides vital confirmation of the diagnosis of giant cell arteritis. The vessel splits into 2 main branches: frontal and parietal. It is unknown which branch is most likely to yield a positive biopsy finding or, indeed, whether arteritis is ever confined to a single branch.

Correspondence: Dr Horton, Beckman Vision Center, University of California, San Francisco, 10 Koret Way, San Francisco, CA 94143 (hortonj@vision.ucsf.edu).

Financial Disclosure: None reported.

Funding/Support: This work was supported by grants EY10217 (Dr Horton) and EY02162 (Beckman Vision Center) from the National Eye Institute and by Research to Prevent Blindness.

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Figure 1. Patient showing biopsy sites from the parietal and frontal branches of the left superficial temporal artery (A), and representative sections, spaced evenly from 9 different levels of the parietal branch of the left superficial temporal artery, showing no evidence of arteritis (hematoxylin-eosin, original magnification ×12) (B).

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Figure 2. Representative sections from the frontal branch of the left superficial temporal artery, all showing granulomatous arteritis and mural thickening (hematoxylin-eosin, original magnification ×12).

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Kyung SE, Yoon MK, Crawford J, Horton JC. Florid Arteritis Confined to a Single Branch of the Superficial Temporal Artery. Arch Ophthalmol. 2012;130(10):1347-1348. doi:10.1001/archophthalmol.2012.1204.

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