24th September 2020

A 68-year-old female patient attends as a result of pain she experiences when chewing food

A 68-year-old female patient attends as a result of pain she experiences when chewing food, the pain is quite sharp. She has noticed that touching the affected area also produces a sharp pain; the pain is localised to the right temporal region of her head. She has also had stiffness in her neck, shoulders and hips over the last 2 months.

On examination the right temporal region is tender to palpation, and there is no erythema or swelling in the affected area.

Subsequent blood tests show a raised ESR and CRP (ESR: 78; CRP: 56).

What is the most likely diagnosis?

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