54 Year-Old Man with Amaurosis Fugax and Cotton Wool Spots

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Identifier walsh_2009_s3_c1
Title 54 Year-Old Man with Amaurosis Fugax and Cotton Wool Spots
Creator Flora Levin
Subject Amaurosis Fugax; Giant Cell Arteritis; Cryoglobulinemia
History A 54-year old male with transient visual loss OS upon standing up and sparing to the left. Previous history significant pars planitis OS and vitrectomy.
Pathology Necrotizing granulomatous inflammation of temporal arteries
Disease/Diagnosis Occult giant cell arteritis
Clinical VA 20/15 OD, 20/20 OS; Left RAPD; Color plates: 6/6 OD, 4.5/6 OS
Presenting Symptom Transient visual loss OS
Treatment Corticosteroids
Date 2009-02-22
References 1. Hayreh SS, Podhajsky PA, Zimmerman B. Occult giant cell arteritis: ocular manifestations Am J Ophthalmol,, 12 5:521 -526,1 998 2. Parikh M, Miller NR, Lee AG, Savino PJ, Vacarezza MN, Cornblath W, Eggenberger E, Antonio-Santos A, Golnik K, Kardon R, Wall M. Prevalence of a normal C-reactive protein with an elevated erythrocyte sedimentation rate in biopsy-proved giant cell arteritis. Ophthalmology. 1 13(10): 1842-45, October 2006. 3. Johnson MC, Lee AG. Giant cell arteritis presenting with cotton wool spots. Seminars In Ophthalmology, 23:141 -142,2008 4. Salvarani C, Hunder GG. Giant cell arteritis with low erythrocyte sedimentation rate: frequency of occurrence in a population-based study. Arthritis care & research. 45:140-145, 2001 5. Gonzalez-Gay MA, Garcia-Porrua C, Llorca J, Hajeer AH, Fancisco B, Dababneh A, Gonzalez-Louzao C, Rodriguez-Gil E, Rodriguez-Ledo P, Ollier W. Visual manifestations of giant cell arteritis: trends and clinical spectrum in 161 patients. Medicine 79(5)::283-292,2000. 6. Cid MC, Font C, Oristrell J, de la Sierra A, Coll-Vinent B, Lopez-Soto A, et al. Association between strong inflammatory response and low risk of developing visual loss and other cranial ischemic complications in giant cell (temporal) arteritis. Arthritis Rheum 41:26-32,1998 7. Garcia-Martinez A, Hernandez-Rodriguez J, Arguis P, Paredes P, Segarra M, Lozano E, Nicolau C, Ramirez J, Lomena F, Josa M, Pons F, Cid MC. Development of aortic aneurysm/dilation during the follow-up of patients with giant cell arteritis: A cross-sectional screening of forty-four prospectively followed patients. Arthritis Care & Research 2008; 59(3): 442-430 8. Kawasaki A, Purvin V. Giant cell arteritis: an updated review. Acta Ophthalmologica. 2008
Language eng
Format application/pdf
Type Text
Source 41st Annual Frank Walsh Society Meeting
Relation is Part of Session 3, Case 1, Walsh Session, NANOS 2009
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2002. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6w3804f
Contributor Primary Levin, Flora
Contributor Secondary Merriam, John; Schubert, Hermann; Blume, Ralph; Odel, Jeffrey
Setname ehsl_novel_fbw
ID 178733
Reference URL https://collections.lib.utah.edu/ark:/87278/s6w3804f
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