Giant cell arteritis with panocular involvement in an Indian male
A case of giant cell arteritis with systemic and panocular involvement is reported here. This elderly Indian male presented with symptoms of unilateral temporal headache and intermittent jaw claudication for a month followed by diplopia and blurring of vision and later loss of vision in the right ey...
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| Format: | Article |
| Language: | English |
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Malaysian Medical Association
2003
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| Online Access: | http://eprints.um.edu.my/24587/1/Giant_Cell_Arteritis.pdf |
| _version_ | 1825722276372283392 |
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| author | Jaais, Fathilah Jamaliah, R. |
| author_facet | Jaais, Fathilah Jamaliah, R. |
| author_sort | Jaais, Fathilah |
| collection | UM |
| description | A case of giant cell arteritis with systemic and panocular involvement is reported here. This elderly Indian male presented with symptoms of unilateral temporal headache and intermittent jaw claudication for a month followed by diplopia and blurring of vision and later loss of vision in the right eye. The right eye showed some limitation of ocular movements, presence of relative afferent pupil defect, anterior segment ischaemic changes and anterior ischaemic optic neuropathy. Visual evoked potential showed an absent P1 wave while the left eye with normal 6/6 vision sowed a prolonged P1 wave. Fundus fluoresceine angiography showed delay in choroidal perfusion. His erythrocyte sedimentation rate (ESR) was 120 mm/hr and he was started on oral prednisolone. Superficial temporal artery biopsy obtained one week after starting steroids was positive for giant cell arteritis. Steroids led to the resolution of optic disc swelling, disappearance of anterior segment signs, full recovery of right ocular movements and no further deterioration of the fellow eye. On steroids, he developed insomnia and progressive myopathy which resolved and is now symptom free at lower doses of steroids. |
| first_indexed | 2024-03-06T06:03:12Z |
| format | Article |
| id | um.eprints-24587 |
| institution | Universiti Malaya |
| language | English |
| last_indexed | 2024-03-06T06:03:12Z |
| publishDate | 2003 |
| publisher | Malaysian Medical Association |
| record_format | dspace |
| spelling | um.eprints-245872021-03-12T07:01:54Z http://eprints.um.edu.my/24587/ Giant cell arteritis with panocular involvement in an Indian male Jaais, Fathilah Jamaliah, R. R Medicine A case of giant cell arteritis with systemic and panocular involvement is reported here. This elderly Indian male presented with symptoms of unilateral temporal headache and intermittent jaw claudication for a month followed by diplopia and blurring of vision and later loss of vision in the right eye. The right eye showed some limitation of ocular movements, presence of relative afferent pupil defect, anterior segment ischaemic changes and anterior ischaemic optic neuropathy. Visual evoked potential showed an absent P1 wave while the left eye with normal 6/6 vision sowed a prolonged P1 wave. Fundus fluoresceine angiography showed delay in choroidal perfusion. His erythrocyte sedimentation rate (ESR) was 120 mm/hr and he was started on oral prednisolone. Superficial temporal artery biopsy obtained one week after starting steroids was positive for giant cell arteritis. Steroids led to the resolution of optic disc swelling, disappearance of anterior segment signs, full recovery of right ocular movements and no further deterioration of the fellow eye. On steroids, he developed insomnia and progressive myopathy which resolved and is now symptom free at lower doses of steroids. Malaysian Medical Association 2003 Article PeerReviewed text en http://eprints.um.edu.my/24587/1/Giant_Cell_Arteritis.pdf Jaais, Fathilah and Jamaliah, R. (2003) Giant cell arteritis with panocular involvement in an Indian male. Medical Journal of Malaysia, 58 (1). pp. 111-114. ISSN 0300-5283, http://www.e-mjm.org/2003/v58n1/Giant_Cell_Arteritis.pdf |
| spellingShingle | R Medicine Jaais, Fathilah Jamaliah, R. Giant cell arteritis with panocular involvement in an Indian male |
| title | Giant cell arteritis with panocular involvement in an
Indian male |
| title_full | Giant cell arteritis with panocular involvement in an
Indian male |
| title_fullStr | Giant cell arteritis with panocular involvement in an
Indian male |
| title_full_unstemmed | Giant cell arteritis with panocular involvement in an
Indian male |
| title_short | Giant cell arteritis with panocular involvement in an
Indian male |
| title_sort | giant cell arteritis with panocular involvement in an indian male |
| topic | R Medicine |
| url | http://eprints.um.edu.my/24587/1/Giant_Cell_Arteritis.pdf |
| work_keys_str_mv | AT jaaisfathilah giantcellarteritiswithpanocularinvolvementinanindianmale AT jamaliahr giantcellarteritiswithpanocularinvolvementinanindianmale |