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 Levin, Flora
Subject Amaurosis Fugax; Giant Cell Arteritis; Cryoglobulinemia
Presenting Symptom Transient visual loss OS
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.
Clinical VA 20/15 OD, 20/20 OS; Left RAPD; Color plates: 6/6 OD, 4.5/6 OS
Pathology Necrotizing granulomatous inflammation of temporal arteries
Disease/Diagnosis Occult giant cell arteritis
Treatment Corticosteroids
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
Relation is Part of Session 3, Case 1, Walsh Session, NANOS 2009
Contributor Primary Levin, Flora
Contributor Secondary Merriam, John; Schubert, Hermann; Blume, Ralph; Odel, Jeffrey
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2009-02-22
Type Text
Format application/pdf
Source 41st Annual Frank Walsh Society Meeting
Rights Management Copyright 2002. 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/s6w3804f
Setname ehsl_novel_fbw
Date Created 2010-02-12
Date Modified 2021-05-06
ID 178733
Reference URL https://collections.lib.utah.edu/ark:/87278/s6w3804f
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