Document Detail

Giant cell arteritis mimicking idiopathic orbital inflammatory disease.
MedLine Citation:
PMID:  12872798     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report an unusual presentation of giant cell arteritis, referred from primary care, mimicking orbital apex syndrome. CASE REPORT: A 72 year old woman was referred with a two week history of pyrexia, dull right eye ache, 2mm of right proptosis, mild conjunctival chemosis and restriction of right eye movements. RESULTS: An erythrocyte sedimentation rate (ESR) was 90 and fluorescein angiography showed almost complete choroidal non-perfusion suggestive of giant cell arteritis. Temporal artery biopsy confirmed the diagnosis. CONCLUSIONS: Giant cell arteritis (GCA) typically presents with anterior ischemic optic neuropathy (AION), choroidal ischemia, central retinal artery occlusion, infrequently manifesting as an ocular motility problem, but has rarely been known to mimick idiopathic orbital inflammatory disease. Prompt recognition and therapy can minimize the chance of ipsilateral ocular involvement and protect the fellow eye.
N Islam; R Asaria; G T Plant; P C Hykin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of ophthalmology     Volume:  13     ISSN:  1120-6721     ISO Abbreviation:  Eur J Ophthalmol     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-07-22     Completed Date:  2003-09-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9110772     Medline TA:  Eur J Ophthalmol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  392-4     Citation Subset:  IM    
Moorfields Eye Hospital, London, United Kingdom.
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MeSH Terms
Blood Sedimentation
Choroid / blood supply
Diagnosis, Differential
Eye Movements
Fluorescein Angiography
Giant Cell Arteritis / blood,  diagnosis*,  pathology,  physiopathology
Inflammation / diagnosis
Optic Disk / pathology
Orbital Diseases / diagnosis*
Regional Blood Flow
Temporal Arteries / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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