Takayasu Arteritis Presenting as Bilateral Ocular Ischemic Syndrome
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 brac...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medrang
2020-09-01
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| Series: | Vascular Specialist International |
| Subjects: | |
| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200031 |
| _version_ | 1818271909532401664 |
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| author | Ramon B. Larrazabal Harold Henrison C. Chiu Angeline Therese Magbitang-Santiago |
| author_facet | Ramon B. Larrazabal Harold Henrison C. Chiu Angeline Therese Magbitang-Santiago |
| author_sort | Ramon B. Larrazabal |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T21:33:40Z |
| format | Article |
| id | doaj.art-8860f9249e944bb187decfedf6024911 |
| institution | Directory Open Access Journal |
| issn | 2288-7970 |
| language | English |
| last_indexed | 2024-12-12T21:33:40Z |
| publishDate | 2020-09-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj.art-8860f9249e944bb187decfedf60249112022-12-22T00:11:14ZengMedrangVascular Specialist International2288-79702020-09-0136316316910.5758/vsi.200031vsi.200031Takayasu Arteritis Presenting as Bilateral Ocular Ischemic SyndromeRamon B. Larrazabal0Harold Henrison C. Chiu1Angeline Therese Magbitang-Santiago2Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, PhilippinesDivision of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, PhilippinesDivision of Rheumatology, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, PhilippinesA 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.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200031takayasu arteritisvasculitisretinopathy |
| spellingShingle | Ramon B. Larrazabal Harold Henrison C. Chiu Angeline Therese Magbitang-Santiago Takayasu Arteritis Presenting as Bilateral Ocular Ischemic Syndrome Vascular Specialist International takayasu arteritis vasculitis retinopathy |
| title | Takayasu Arteritis Presenting as Bilateral Ocular Ischemic Syndrome |
| title_full | Takayasu Arteritis Presenting as Bilateral Ocular Ischemic Syndrome |
| title_fullStr | Takayasu Arteritis Presenting as Bilateral Ocular Ischemic Syndrome |
| title_full_unstemmed | Takayasu Arteritis Presenting as Bilateral Ocular Ischemic Syndrome |
| title_short | Takayasu Arteritis Presenting as Bilateral Ocular Ischemic Syndrome |
| title_sort | takayasu arteritis presenting as bilateral ocular ischemic syndrome |
| topic | takayasu arteritis vasculitis retinopathy |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.200031 |
| work_keys_str_mv | AT ramonblarrazabal takayasuarteritispresentingasbilateralocularischemicsyndrome AT haroldhenrisoncchiu takayasuarteritispresentingasbilateralocularischemicsyndrome AT angelinetheresemagbitangsantiago takayasuarteritispresentingasbilateralocularischemicsyndrome |