Larrazabal Ramon B, Chiu Harold Henrison C, Magbitang-Santiago Angeline Therese
Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Vasc Specialist Int. 2020 Sep 30;36(3):163-169. doi: 10.5758/vsi.200031.
A 26-year-old female came in with progressive blurring of vision. She had developed memory loss and complained of headache, significant weight loss, and exertional left calf pain after prolonged walking. Pertinent physical findings included light perception on visual acuity examination, and the brachial and radial pulses of both arms were not appreciable. Thoracic and abdominal aortic imaging by computed tomography with contrast revealed narrowing along the thoracic aorta and its branches. Carotid Doppler showed bilaterally thickened walls in the common carotid arteries, with near total occlusion of the left carotid artery. These findings were consistent with bilateral ocular ischemic syndrome in Takayasu arteritis. She was given methylprednisolone 500 mg intravenously daily for 3 days with noted improvement in vision. She was discharged and showed improvement on prednisone 35 mg/day and aspirin 80 mg/day. On follow-up two weeks post-discharge, she reported being able to see silhouettes of persons and objects.
一名26岁女性因视力逐渐模糊前来就诊。她出现了记忆力减退，并伴有头痛、体重显著减轻以及长时间行走后左小腿用力时疼痛。相关体格检查发现包括视力检查仅存光感，双臂肱动脉和桡动脉搏动未触及。胸部和腹部主动脉增强CT成像显示胸主动脉及其分支变窄。颈动脉多普勒检查显示双侧颈总动脉壁增厚，左侧颈动脉几乎完全闭塞。这些发现符合高安动脉炎所致的双侧眼部缺血综合征。给予她静脉注射甲泼尼龙500毫克，每日1次，共3天，视力有明显改善。她出院后服用泼尼松35毫克/天和阿司匹林80毫克/天，病情有所好转。出院两周后随访时，她报告能够看到人和物体的轮廓
