Shailaja S, Vivek G, Shetty Ranjan, Kamath Yogish
Department of Ophthalmology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
BMJ Case Rep. 2013 Apr 29;2013:bcr2013009461. doi: 10.1136/bcr-2013-009461.
A 22-year-old lady presented with gradually progressive visual loss and chronic pain in both the eyes of 3 months duration. The clinical examination and fundus fluorescein angiography were suggestive of bilateral ocular ischaemic syndrome. Her upper limb pulses were feeble and blood pressure was not recordable in the same. Carotid Doppler revealed a bilateral carotid artery occlusion. Systemic markers for inflammation were elevated. Diagnosis of Takayasu arteritis was made on the basis of clinical and laboratory findings. Takayasu arteritis should be considered in the differential diagnosis of ocular ischaemic syndrome, particularly in young Asian women.
一名22岁女性，双眼出现进行性视力丧失和慢性疼痛3个月。临床检查和眼底荧光血管造影提示双侧眼部缺血综合征。她的上肢脉搏微弱，无法测得血压。颈动脉多普勒检查显示双侧颈动脉闭塞。炎症的全身标志物升高。根据临床和实验室检查结果诊断为高安动脉炎。在眼部缺血综合征的鉴别诊断中应考虑高安动脉炎，尤其是年轻亚洲女性。
