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
_version_ 1783736754498437120
author Hiraoka, Daisuke
Ishizaki, Jun
Horie, Kenta
Matsumoto, Takuya
Suemori, Koichiro
Takenaka, Katsuto
Hasegawa, Hitoshi
author_facet Hiraoka, Daisuke
Ishizaki, Jun
Horie, Kenta
Matsumoto, Takuya
Suemori, Koichiro
Takenaka, Katsuto
Hasegawa, Hitoshi
author_sort Hiraoka, Daisuke
collection PubMed
description 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.
format Online
Article
Text
id pubmed-8355394
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-83553942021-08-24 Giant Cell Arteritis Presenting with Ptosis and Diplopia Hiraoka, Daisuke Ishizaki, Jun Horie, Kenta Matsumoto, Takuya Suemori, Koichiro Takenaka, Katsuto Hasegawa, Hitoshi Intern Med Case Report 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. The Japanese Society of Internal Medicine 2021-02-15 2021-07-15 /pmc/articles/PMC8355394/ /pubmed/33583895 http://dx.doi.org/10.2169/internalmedicine.6521-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hiraoka, Daisuke
Ishizaki, Jun
Horie, Kenta
Matsumoto, Takuya
Suemori, Koichiro
Takenaka, Katsuto
Hasegawa, Hitoshi
Giant Cell Arteritis Presenting with Ptosis and Diplopia
title Giant Cell Arteritis Presenting with Ptosis and Diplopia
title_full Giant Cell Arteritis Presenting with Ptosis and Diplopia
title_fullStr Giant Cell Arteritis Presenting with Ptosis and Diplopia
title_full_unstemmed Giant Cell Arteritis Presenting with Ptosis and Diplopia
title_short Giant Cell Arteritis Presenting with Ptosis and Diplopia
title_sort giant cell arteritis presenting with ptosis and diplopia
topic Case Report
url 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
work_keys_str_mv AT hiraokadaisuke giantcellarteritispresentingwithptosisanddiplopia
AT ishizakijun giantcellarteritispresentingwithptosisanddiplopia
AT horiekenta giantcellarteritispresentingwithptosisanddiplopia
AT matsumototakuya giantcellarteritispresentingwithptosisanddiplopia
AT suemorikoichiro giantcellarteritispresentingwithptosisanddiplopia
AT takenakakatsuto giantcellarteritispresentingwithptosisanddiplopia
AT hasegawahitoshi giantcellarteritispresentingwithptosisanddiplopia

Ejemplares similares