视网膜分支动脉阻塞作为巨细胞动脉炎的首发症状
Branch retinal artery occlusion as the initial sign of giant cell arteritis.
作者信息
Fineman M S, Savino P J, Federman J L, Eagle R C
机构信息
Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
出版信息
Am J Ophthalmol. 1996 Sep;122(3):428-30. doi: 10.1016/s0002-9394(14)72073-2.
PURPOSE
To describe a patient whose initial sign of giant cell arteritis was a branch retinal artery occlusion.
METHODS
We examined a 77-year-old woman who developed arteritic anterior ischemic optic neuropathy three weeks after an isolated non-embolic branch retinal artery occlusion occurred in the same eye.
RESULTS
The diagnosis of giant cell arteritis was confirmed by temporal artery biopsy after the patient was treated with intravenous corticosteroids.
CONCLUSIONS
Although a rare cause of branch retinal vascular occlusion, giant cell arteritis should be considered in the differential diagnosis of a non-embolic branch retinal artery occlusion in elderly patients.
目的
描述一位以视网膜分支动脉阻塞为巨细胞动脉炎首发体征的患者。
方法
我们检查了一名77岁女性，其在同一只眼睛发生孤立性非栓塞性视网膜分支动脉阻塞三周后出现动脉炎性前部缺血性视神经病变。
结果
患者接受静脉注射皮质类固醇治疗后，经颞动脉活检确诊为巨细胞动脉炎。
结论
尽管视网膜分支血管阻塞的病因罕见，但在老年患者非栓塞性视网膜分支动脉阻塞的鉴别诊断中应考虑巨细胞动脉炎。
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