Klinging to My Failing Corneas (Presentation Video)

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Identifier walsh_2007_s3_c2_video
Title Klinging to My Failing Corneas (Presentation Video)
Creator Patel, Vivek
Subject Wegener Granulomatosis; Corneal Ulcer; Scleritis; Ophthalmoplegia; Exophthalmos; Pupil Disorders
Presenting Symptom Periorbital pain; Proptosis; Ophthalmoplegia OS
History A 46-year old female with a 10-year history of bilateral scleritis and peripheral ulcerative keratitis secondary to presumed rheumatoid arthritis.
Clinical VA: 20/100 OD, 20/400 OS; IOP: 11 OD, 25 OS; RAPD OS
Neuroimaging CT; MRI
Pathology Sino-orbital lesion with necrotizing and supportive granulomatous inflammation.
Disease/Diagnosis Limited Wegener granulomatosis
Treatment Glucocorticoids; Cytotoxins
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.
Relation is Part of Case 2, Session 3, Walsh Session, NANOS 2007
Contributor Primary Patel, Vivek
Contributor Secondary Quiros, Peter; Sadun, Alfredo
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2007-02-11
Type Image/MovingImage
Format video/mp4
Source 39th Annual Frank Walsh Society Meeting
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
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 http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6sb48hn
Setname ehsl_novel_fbw
Date Created 2009-06-18
Date Modified 2021-05-06
ID 178339
Reference URL https://collections.lib.utah.edu/ark:/87278/s6sb48hn
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