Mesquita, ACamara, LPatrício, CBrotas, V2021-11-242021-11-242020BMJ Case Rep. 2020 Mar 25;13(3):e232234.http://hdl.handle.net/10400.17/3926A 60-year-old man was hospitalised with persistent fever, arm pain, dry cough and cholestasis. Diagnostic workup was remarkable for elevated inflammatory markers. Infectious diseases and autoimmune screening were negative. Imaging modalities excluded a neoplastic aetiology. Liver biopsy was negative for granulomatous or lymphomatous infiltrations. Giant cell arteritis (GCA) was suspected, but temporal artery Doppler ultrasound and biopsy were non-diagnostic. A positron emission tomography scan showed intense metabolic uptake in large vessels suggesting the diagnosis of GCA. Prednisolone was initiated with clinical and analytical improvement. At 1-year follow-up, there were no relapses and the patient remains symptom free.engHSAC MEDMaleHumansMiddle AgedAnti-Inflammatory Agents, Non-SteroidalAspirin / therapeutic use*CholestasisCoughDiagnosis, DifferentialDrug Therapy, CombinationFever of Unknown OriginGiant Cell Arteritis / diagnostic imaging*Giant Cell Arteritis / drug therapy*Glucocorticoids / therapeutic usePositron-Emission TomographyPrednisolone / therapeutic use*journal article10.1136/bcr-2019-232234.