Temporal cell arteritis is a systemic vasculitis occurring mainly in t
he elderly, Classic symptoms such as headache, jaw claudication, visua
l changes, and polymyalgia rheumatica make the diagnosis relatively ea
sy. Occult or asymptomatic presentations, however, are often missed or
attributed to another cause. It is important for clinicians to be awa
re of the diverse presentations of this disease to avoid unnecessary i
nvestigations and prevent complications such as visual loss, myocardia
l ischemia, cerebrovascular accident, and death. This report presents
the case of a patient who was referred with anemia and an elevated ery
throcyte sedimentation rate, and who developed a headache during the h
ospital admission.