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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2021
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Materias: | |
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 |
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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 |
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