Evidence map›Paper›PMID 40726518›Full record

ArticleCase reports in rheumatology2025

Diagnostic Dilemmas in Giant Cell Arteritis: Overcoming Anchoring Bias.

Crystal Stewart, Rana H Asif, Tahani Dakkak, Hardeep Singh, Muhammad Ali Javaid, Nikesh Patel

Abstract readCase Reports
In one paragraph

Article in Case reports in rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Crystal StewartGraduate Medical Education Research Department, Northeast Georgia Medical Center, Gainesville, Georgia, USA.ORCID https://orcid.org/0009-0001-6276-6605
Rana H AsifInternal Medicine GME Program, Northeast Georgia Medical Center, Gainesville, Georgia 30501, USA.ORCID https://orcid.org/0009-0004-5054-6957
Tahani DakkakGraduate Medical Education Research Department, Northeast Georgia Medical Center, Gainesville, Georgia, USA.ORCID https://orcid.org/0009-0001-1099-6900
Hardeep SinghGraduate Medical Education Research Department, Northeast Georgia Medical Center, Gainesville, Georgia, USA.ORCID https://orcid.org/0009-0000-1545-5188
Muhammad Ali JavaidInternal Medicine GME Program, Northeast Georgia Medical Center, Gainesville, Georgia 30501, USA.ORCID https://orcid.org/0009-0003-1953-3712
Nikesh PatelInternal Medicine GME Program, Northeast Georgia Medical Center, Gainesville, Georgia 30501, USA.ORCID https://orcid.org/0009-0000-6695-7065

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Giant cell arteritis (GCA), also known as temporal arteritis, is the most common systemic vasculitis in individuals over 50 and presents diagnostic challenges due to its nonspecific symptoms such as fever, headache, and fatigue. This case report describes the details of a male patient in his 70s who presented with recurrent intermittent fevers of unknown origin and was ultimately diagnosed with GCA after an extensive workup. His initial CT scans and lab tests were unremarkable. However, after a rheumatological workup displayed elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels, along with new symptoms of ataxia and headaches, a temporal artery biopsy (TAB) was performed and confirmed the patient had GCA. This case underscores the difficulty in diagnosing GCA primarily due to physician anchoring bias, particularly when typical symptoms are not present. The case also showcases the need for increased awareness and prompt evaluation of potential GCA symptoms to prevent severe complications. Public education as well as improved hospital protocols can lead to earlier detection and treatment of GCA, reducing the risk of morbidity.

Indexed as

C-reactive proteinfeverfever of unknown origingiant cell arteritistemporal artery biopsy

Identifiers

PMID40726518
PMCPMC12303627

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.