Cotton wool spots in giant cell arteritis

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Identifier EEC_Giant_cell_arteritis_CWS
Title Cotton wool spots in giant cell arteritis
Subject hypertension, disc edema, occipital lobe hemorrhage
Creator Rahul A. Sharma, MD, MPH, Neuro-ophthalmology Fellow, Department of Ophthalmology, Emory University School of Medicine; Valérie Biousse, MD, Cyrus H. Stoner Professor of Ophthalmology, Professor of Ophthalmology and Neurology, Departments of Ophthalmology and Neurology, Emory University School of Medicine
Description This is a case of cotton wool spots in a patient with temporal artery-biopsy proven temporal arteritis.; ; A 66-year-old woman presents with isolated painless vision loss related to a left optic neuropathy in her left eye. She denies systemic symptoms to suggest giant cell arteritis.; Her examination shows: visual acuity: 20/20 OD, 20/40 OS, pupils: 1+ left RAPD, color vision: 14/14 OU correct Ishihara plates. She has the following bloodwork: erythrocyte sedimentation rate 47 mm/hr (normal 1-30), c-reactive protein 2.79 mg/L (normal < 8), platelets 329 (normal 150-450). A MRI brain with and without contrast was normal.; The patient's vision loss was attributed to a posterior ischemic optic neuropathy of the left eye. The presence of cotton wool spots and ischemic optic neuropathy in an elderly patient raised concern for giant cell arteritis. A left temporal artery biopsy was positive for giant cell arteritis. The patient was treated with corticosteroids. Color fundus photographs taken following treatment showed resolution of her peripapillary cotton wool spots.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2020-04
Format application/pdf
Rights Management Copyright 2020. For further information regarding the rights to this collection, please visit:
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s6839119
Setname ehsl_novel_eec
Date Created 2020-04-01
Date Modified 2020-04-01
ID 1535214
Reference URL
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