| Giant cell arteritis mimicking idiopathic orbital inflammatory disease. | |
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MedLine Citation:
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PMID: 12872798 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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N Islam; R Asaria; G T Plant; P C Hykin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: European journal of ophthalmology Volume: 13 ISSN: 1120-6721 ISO Abbreviation: Eur J Ophthalmol Publication Date: 2003 May |
Date Detail:
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Created Date: 2003-07-22 Completed Date: 2003-09-10 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9110772 Medline TA: Eur J Ophthalmol Country: Italy |
Other Details:
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Languages: eng Pagination: 392-4 Citation Subset: IM |
Affiliation:
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Moorfields Eye Hospital, London, United Kingdom. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Blood Sedimentation Choroid / blood supply Diagnosis, Differential Eye Movements Female Fluorescein Angiography Giant Cell Arteritis / blood, diagnosis*, pathology, physiopathology Humans 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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