TY - JOUR T1 - Arteriosclerosis or Vasculitis? Color Duplex Sonography in Giant Cell Arteritis JF - The Journal of Rheumatology JO - J Rheumatol SP - 1898 LP - 1899 DO - 10.3899/jrheum.120317 VL - 39 IS - 9 AU - MARCIN MILCHERT AU - KATARZYNA FISCHER AU - JACEK FLICINSKI AU - HANNA PRZEPIERA-BEDZAK AU - MAREK BRZOSKO Y1 - 2012/09/01 UR - http://www.jrheum.org/content/39/9/1898.abstract N2 - To the Editor:We followed with great interest the report by Czihal, et al1 presenting new possibilities of objective, noninvasive diagnostic procedures that remain insufficient in giant cell arteritis (GCA). We would like to share our clinical experiences with arteritic changes in patients with GCA.Sonographic presentations of vasculitis may be mistaken for arteriosclerosis, especially in elderly patients who typically have GCA. That was the case in a patient with mild systemic manifestations and insidious disease onset. A 64-year-old woman presented with carotidynia — a rare manifestation of GCA. Color duplex sonography (CDS) revealed hypoechoic, homogenous, circumferential but not symmetrical bilateral wall thickening involving carotid and internal carotid arteries up to 15 mm from the carotid … Address correspondence to Dr. Milchert; E-mail: marcmilc{at}hotmail.com ER -