| Identifier |
walsh_2012_s4_c5 |
| Title |
No Skin Off My Back |
| Creator |
J. Alexander Fraser |
| Subject |
Sarcoidosis; Carotid Artery, Internal; Arteritis; Optic Neuropathy, Ischemic; Cerebral Infarction |
| History |
A 41-year old male with a sudden onset loss of vision OS with headache over the brow. Previous history significant for a wide excision of a malignant melanoma from the left scapular region and left axillary lymph node dissection 5 years previously. Patient was a smoker. |
| Pathology |
Non-caseating granulomatous inflammation with no evidence of malignancy. |
| Disease/Diagnosis |
Occlusive internal carotid arteritis from sarcoidosis, causing cerebral infarction and NAION (from hypoperfusion or, less likely, embolism) |
| Clinical |
VA: 20/20 OD; CF OS; Color vision: 10/10 OD, No control plate OS; RAPD OS; cup-to-disc ratio 0.1 OD, cup obliterated OS; mild temporal depression OD, severe generalized depression OS |
| Presenting Symptom |
Loss of vision OS; Headache |
| Neuroimaging |
CT; MRI |
| Treatment |
Surgery; Anti-inflammatory analgesics |
| Date |
2012-02 |
| References |
1. Bottcher E. Disseminated sarcoidosis with a marked granulomatous arteritis. Arch Pathol. 68:419-423. 1959. 2. Fernandes SR, Singsen BH, Hoffman GS. Sarcoidosis and systemic vasculitis. Semin Arthritis Rheum. 30:33-46. 2000. 3. Jalisi S, Winter LK, Elackattu A, Sakai O. Sarcoidosis masquerading as carotid body tumor. Arch Otolaryngol Head Neck Surg, 136: 1132-1135. 2010. 4. Korkmaz C, Efe B, Tel N, Kabukcuoglu S, Erenoglu E. Sarcoidosis with palpable nodular myositis, periostitis, and large-vessel vasculitis simulating Takayasu's arteritis. Rheumatology. 38:287-288. 1999. 5. Marcussen N, Lund C. Combined sarcoidosis and disseminated visceral giant cell vasculitis. Pathol Res Pract. 184:325-30. 1989. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
44th Annual Frank Walsh Society Meeting |
| Relation is Part of |
Case presented at the NANOS 2012 Walsh Session, February 12 |
| Collection |
Neuro-Ophthalmology Virtual Education Library - Walsh Session Annual Meeting Archives https://novel.utah.edu/Walsh/index3.html |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-6366 |
| Rights Management |
Copyright 2012. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6tb19rc |
| Setname |
ehsl_novel_fbw |
| ID |
179105 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6tb19rc |
