Document Detail

Calciphylaxis of the temporal artery masquerading as temporal arteritis.
MedLine Citation:
PMID:  20584026     Owner:  NLM     Status:  MEDLINE    
We describe a case of a 75-year-old man with diabetes type II and end-stage renal disease, presenting with a one-month history of blurring of vision in the left eye. Fundus exam showed pale and swollen optic nerve in the left eye, and temporal artery biopsy showed diffuse and extensive calcification at the internal elastic lamina and media. Biopsy of dusky erythematous lesions over the calves revealed the diagnosis of calciphylaxis. The temporal artery calcific lesions should hence be differentiated from the less extensive atherosclerotic changes, which mainly affect the media of the artery, as it is crucial to suspect this life-threatening diagnosis in patients at risk.
Shady T Awwad; Samer Ghosn; R Nick Hogan
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-02
Journal Detail:
Title:  Clinical & experimental ophthalmology     Volume:  38     ISSN:  1442-9071     ISO Abbreviation:  Clin. Experiment. Ophthalmol.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-23     Completed Date:  2010-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896531     Medline TA:  Clin Experiment Ophthalmol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  511-3     Citation Subset:  IM    
Department of Ophthalmology, American University of Beirut Medical Center, Beirut, Lebanon.
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MeSH Terms
Calciphylaxis / diagnosis*,  pathology
Diagnosis, Differential
Giant Cell Arteritis / diagnosis*
Subcutaneous Fat / pathology
Temporal Arteries / pathology*

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