To the Editor: In his Grand Rounds presentation
about temporal arteritis (TA), Dr Hellman1
described the examination for bruits over the carotid, subclavian, axillary,
abdominal aortic, and femoral artery regions. However, he did not describe
auscultation of the orbits for bruits in his patient who had presented with,
among other symptoms, unilateral blindness. I have long advocated orbital
auscultation in cases of suspected TA.2,3
Indeed, as noted by Hellmann, about a third of patients with TA become blind.
Since retinal ischemia is common in TA, it is not surprising that orbital
bruits are often heard.
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