Identifier |
walsh_2007_s3_c2 |
Title |
Klinging to My Failing Corneas |
Creator |
Viviek Patel, MD; Peter Quiros, MD; Alfredo Sadun, MD, PhD |
Affiliation |
Los Angeles, CA |
Subject |
Wegener Granulomatosis; Corneal Ulcer; Scleritis; Ophthalmoplegia; Exophthalmos; Pupil Disorders |
History |
A 46-year old female with a 10-year history of bilateral scleritis and peripheral ulcerative keratitis secondary to presumed rheumatoid arthritis. |
Pathology |
Sino-orbital lesion with necrotizing and supportive granulomatous inflammation. |
Disease/Diagnosis |
Limited Wegener granulomatosis |
Clinical |
VA: 20/100 OD, 20/400 OS: IOP: 11 OD, 25 OS; RAPD OS |
Presenting Symptom |
Periorbital pain; Proptosis: Ophthalmoplegia OS |
Neuroimaging |
CT; MRI |
Treatment |
Glucocorticoids; Cytotoxins |
Date |
2007 |
References |
1. Klinger H: Grenzformen der periarteritis nodosa. Frankfurt Z Pathol 1931; 42:455. 2. Wegener F: Über eine generalisierte, septische of gefäberkrankungen. Verh Dtsch Pathol Ges 1936; 29:202. 3. Duna GF, Galperin C, Hoffman GS: Wegener's granulomatosis. Rheum Dis Clin North Am 1995; 21(4):949-986. 4. Provenzale JM, Allen NB. Wegener granulomatosis: CT and MR findings. AJNR Am J Neuroradiol 1996;17:785-92. 5. Leavitt RY, Fauci AS, Bloch DA, et al. The American College of Rheumatology 1990 criteria for the classification of Wegener's granulomatosis. Arthritis Rheum 1990;33:1101-1107. 6. Nolle B, Specks U, Ludemann J, et al. Anti-cytoplasmic autoantibodies:their immunodiagnostic value in Wegener's granulomatosis. Ann Intern Med. 1989; 111:28-40. 7. Garrity JA, Kennerdell JS, Johnson BL, et al. Cyclophophamide in treatment of orbital vasulitis. Am J Ophthalmol. 1986; 102:97-103. 8. Hoffman GS, et al: Wegener granulomatosis: An analysis of 158 patients. Ann Intern Med 1992; 116(6):488-498. 9. Cassan SM, Coles DT, Harrison EG: The concept of limited forms of Wegener's granulomatosis. Am J Med 1970; 49:366. |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
39th Annual Frank Walsh Society Meeting |
Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2007 |
Collection |
Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/ |
Publisher |
North American Neuro-Ophthalmology Society |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s6w95czp |
Setname |
ehsl_novel_fbw |
ID |
178315 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6w95czp |