| Bilateral blindness in temporal arteritis with skip areas. | |
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MedLine Citation:
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PMID: 6830489 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 73-year-old woman received systemic corticosteroids for suspected temporal arteritis after blindness developed in the right eye during the previous day. Because a right temporal artery biopsy specimen was reported as normal, a diagnosis of arteriosclerotic ischemic optic neuropathy was made and the corticosteroid therapy was discontinued. Two weeks later the patient rapidly lost vision in her left eye. A left temporal artery biopsy specimen showed granulomatous arteritis adjacent to normal artery (skip area). Deeper sections of the original right temporal artery biopsy specimen also demonstrated a small focus of granulomatous arteritis adjacent to normal artery. In patients with suspected temporal arteritis, numerous step sections of a long segment of temporal artery should be examined; if the results are normal, the contralateral temporal artery should be studied. A nonspecific inflammatory reaction within or adjacent to the artery should alert the pathologist to the possible presence of a nearby focus of granulomatous arteritis. |
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Authors:
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S Brownstein; D A Nicolle; F Codère |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Archives of ophthalmology Volume: 101 ISSN: 0003-9950 ISO Abbreviation: Arch. Ophthalmol. Publication Date: 1983 Mar |
Date Detail:
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Created Date: 1983-04-07 Completed Date: 1983-04-07 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7706534 Medline TA: Arch Ophthalmol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 388-91 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Blindness / etiology, pathology* Female Giant Cell Arteritis / complications, drug therapy, pathology* Humans Prednisone / therapeutic use |
| Chemical | |
Reg. No./Substance:
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53-03-2/Prednisone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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