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Giant cell arteritis (GCA) is a systemic inflammatory vasculitis of the elderly affecting primarily the large arteries of the head. A huge clinical spectrum of symptoms accompanies the onset of the disease with headaches, jaw claudication and visual disorders being the most common. However, symptoms like dry couch or simply fever could also insinuate the beginning of the disease. We report the case of a 65-year-old man with fever of unknown origin along with persistent monocytosis that proved to be a case of GCA. To our knowledge, monocytosis associated with GCA has never been reported in the literature before.

A Headache for the Doctor but not for the Patient. Monocytosis, an Exceptional Finding in Giant Cell Arteritis