巨细胞动脉炎的非典型表现：前缺血性视神经病变和脉络膜梗死的易疲劳体征。
An atypical presentation of giant cell arteritis: Fatigable signs to anterior ischemic optic neuropathy and choroidal infarction.
作者信息
Shinbashi Meagan, Hakim Summer, Mechel Elzbieta, Mehta Mitul C, Crow Robert W
机构信息
Virginia Commonwealth University School of Medicine Richmond Virginia USA.
Gavin Herbert Eye Institute University of California Irvine California USA.
出版信息
Clin Case Rep. 2023 Aug 6;11(8):e7775. doi: 10.1002/ccr3.7775. eCollection 2023 Aug.
KEY CLINICAL MESSAGE
Prompt diagnosis and treatment of GCA are crucial to preserve vision. Because of this, new-onset ptosis or diplopia in elderly patients should warrant consideration of GCA, even in the absence of "classic" features, systemic symptoms or elevated inflammatory markers.
ABSTRACT
Giant cell arteritis (GCA) is a vision-threatening, ophthalmic emergency that classically presents with new-onset headaches, scalp tenderness, systemic symptoms, visual disturbances, and elevated inflammatory markers. We describe an atypical presentation of GCA in an 87-year-old patient with fatigable ptosis and diplopia, with subsequent anterior ischemic optic neuropathy and choroidal infarction.
关键临床信息
及时诊断和治疗巨细胞动脉炎（GCA）对于保护视力至关重要。因此，老年患者出现新发上睑下垂或复视时，即使没有“典型”特征、全身症状或炎症标志物升高，也应考虑GCA。
摘要
巨细胞动脉炎（GCA）是一种威胁视力的眼科急症，典型表现为新发头痛、头皮压痛、全身症状、视觉障碍和炎症标志物升高。我们描述了一名87岁患者GCA的非典型表现，该患者出现易疲劳性上睑下垂和复视，随后发生前部缺血性视神经病变和脉络膜梗死。
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