隐匿性巨细胞动脉炎与类固醇疗法：多紧急才算紧急？

Occult giant cell arteritis and steroid therapy: how urgent is urgent?

作者信息

Mitra Arijit, Chavan Randhir, Gunda Manish

机构信息

Wolverhampton and Midland Counties Eye Infirmary, Compton Road, Wolverhampton, West Midlands, WV3 9QR, UK.

出版信息

Compr Ther. 2006 Winter;32(4):271-3. doi: 10.1007/BF02698075.

DOI:10.1007/BF02698075

PMID:17898435

Abstract

We report two cases of sudden loss of vision in the second eye, within a few hours of loss of vision in the first, in association with occult giant cell arteritis. Both cases presented with bilateral disc edema. The importance of starting steroid therapy to prevent sight- or life-threatening complications, as soon as a diagnosis is suspected is emphasized.

摘要

我们报告了两例在第一只眼睛失明后的数小时内，第二只眼睛突然失明的病例，这与隐匿性巨细胞动脉炎有关。两例均表现为双侧视盘水肿。强调了一旦怀疑诊断，应立即开始使用类固醇疗法以预防视力或危及生命的并发症的重要性。