Temporal arteritis is a clinical manifestation of giant cell arteritis. The etiology of this disease
is still unknown. Sudden onset and wide variations of incidence are reported in different
parts of the world. Acute onset is often associated with flu-like symptoms, indicating that
infectious factors probably act as precipitating agents. We describe a 72-year-old man
referred to our department in January 1999 for unremitting fever and temporal arteritis
associated with Chlamydia pneumoniae infection.

Dr. Hess's comments are pertinent and thought provoking. I would prefer that Dr. Clark
address the issue regarding the large number of women in rheumatology in Mexico, since
she practices there '. I would point out, however, that throughout my visits to different Latin
American countries over the last 20 years, I have witnessed the growing numbers of women
physi-cians not only in rheumatology but in medicine in general (well over 50% in some
places). More women are seeking higher education and perceive medicine within their …