| An occult case of giant cell arteritis presenting with combined anterior ischemic optic neuropathy and cilioretinal artery occlusion. | |
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MedLine Citation:
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PMID: 15590540 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 61-year-old female presented with a moderate decrease in vision in the left eye. The patient denied any other ocular or systemic symptoms related to giant cell arteritis. Visual acuity was 20/50 in the left eye with a 2+ relative afferent pupillary defect and markedly abnormal color vision. Dilated fundus examination and flourescein angiography revealed optic disc edema as well as a cilioretinal artery occlusion. Erythrocyte sedimentation rate was only slightly elevated. Subsequent biopsy of the superficial temporal artery confirmed the diagnosis of giant cell arteritis. Cilioretinal arteries are anatomical variants derived from the short posterior ciliary arteries. Arteritic anterior ischemic optic neuropathy typically results from thrombotic occlusion of the short posterior ciliary arteries. Consequently, arteritic occlusion of the short posterior ciliary arteries can result in concomitant occlusion of the cilioretinal artery. This case highlights the situation where clinical symptoms were not suspicious for giant cell arteritis but the presence of an anterior ischemic optic neuropathy and a cilioretinal artery occlusion was virtually pathognomonic for giant cell arteritis. |
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Authors:
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John M Galasso; Walter M Jay |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Seminars in ophthalmology Volume: 19 ISSN: 0882-0538 ISO Abbreviation: Semin Ophthalmol Publication Date: 2004 Sep-Dec |
Date Detail:
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Created Date: 2004-12-13 Completed Date: 2005-03-07 Revised Date: 2008-05-28 |
Medline Journal Info:
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Nlm Unique ID: 8610759 Medline TA: Semin Ophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 75-7 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Loyola University Medical Center, Maywood, Illinois 60153, USA. jgalasso@lumc.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arterial Occlusive Diseases
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complications*,
diagnosis,
drug therapy Biopsy Ciliary Arteries* Female Fluorescein Angiography Giant Cell Arteritis / diagnosis, drug therapy, etiology* Glucocorticoids / therapeutic use Humans Middle Aged Optic Neuropathy, Ischemic / complications*, diagnosis, drug therapy Papilledema / complications, diagnosis, drug therapy Prednisone / therapeutic use Retinal Artery Occlusion / complications*, diagnosis, drug therapy Temporal Arteries |
| Chemical | |
Reg. No./Substance:
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0/Glucocorticoids; 53-03-2/Prednisone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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