Objective: To determine the relative frequencies of positive temporal arter
y biopsies among African American and Caucasian patients at our institution
, and to compare clinical and laboratory data. Materials and methods: Clini
cal and pathologic data were retrospectively collected on patients who unde
rwent a temporal artery biopsy between 1986 and 1995 at a midwestern inner-
city hospital with a large African American patient base. Results: A total
of 7% of the African American and 17% of the Caucasian patients had positiv
e biopsies. Headache, visual symptoms, jaw claudication, and myalgias/arthr
algias occurred with similar frequency among African American and Caucasian
patients referred for biopsy. Conclusions: Physicians in tertiary care ref
erral settings serving a large African American population way encounter te
mporal arteritis among their African American patients more commonly than p
reviously reported.