Giant Cell Arteritis Presenting with Ptosis and Diplopia

Giant cell arteritis (GCA) is vasculitis of large-sized vessels that can lead to vision loss. We herein report a rare case of GCA accompanied by ptosis and diplopia as early symptoms, which were caused by third nerve palsy. A 78-year-old man presented with fever, right temporal headache, right eyeli...

Descripción completa

Detalles Bibliográficos
Autores principales: Hiraoka, Daisuke, Ishizaki, Jun, Horie, Kenta, Matsumoto, Takuya, Suemori, Koichiro, Takenaka, Katsuto, Hasegawa, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355394/
https://www.ncbi.nlm.nih.gov/pubmed/33583895
http://dx.doi.org/10.2169/internalmedicine.6521-20
Descripción
Sumario:Giant cell arteritis (GCA) is vasculitis of large-sized vessels that can lead to vision loss. We herein report a rare case of GCA accompanied by ptosis and diplopia as early symptoms, which were caused by third nerve palsy. A 78-year-old man presented with fever, right temporal headache, right eyelid ptosis, and diplopia. GCA was confirmed by a temporal artery biopsy. The symptoms disappeared after a slight delay following the administration of prednisolone. Unlike vision loss, ptosis and diplopia are considered to be reversible and responsive to treatment. GCA should not be ruled out if patients exhibit these ophthalmic symptoms.

Ejemplares similares