Related Experiment Video
Updated: Jul 29, 2025
04:44
Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
20.0K
Scleritis in Takayasu Arteritis
Swetha Chittipolu1, Jennifer L Kennard2, Rajachendra S Tumma1
1Internal Medicine, North Mississippi Health Services, Tupelo, USA.
Cureus
|May 19, 2023
Summary
Takayasu arteritis, a rare aortic disease, can cause eye inflammation like scleritis. Early diagnosis and treatment with oral steroids effectively managed this patient's symptoms.
Area of Science:
- Vascular Inflammation
- Ophthalmology
- Rheumatology
Background:
- Takayasu arteritis is a chronic vasculitis affecting the aorta.
- Clinical manifestations include hypertension, pulse deficits, and heart failure.
- Ophthalmological findings are often late-stage symptoms.
Observation:
- A 54-year-old woman presented with unilateral scleritis.
- Initial treatment with topical steroids and NSAIDs provided no relief.
- Symptoms improved significantly after initiating oral prednisone.
Findings:
- Scleritis can be an atypical, early presenting sign of Takayasu arteritis.
- Systemic corticosteroid therapy is effective for managing Takayasu arteritis-associated scleritis.
- Prompt diagnosis and treatment are crucial for preventing vision loss.
Implications:
- Highlights the importance of considering systemic vasculitis in unexplained scleritis.
- Suggests that ophthalmologists should be aware of potential rheumatologic associations.
- Emphasizes the need for multidisciplinary collaboration in managing complex cases.
Related Concept Videos
01:23Rheumatic Heart Disease I: Introduction
21
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
21
01:22Pericarditis I: Introduction
13
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
13
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
01:19Pericarditis II: Clinical Features and Diagnostic Tests
12
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
12
01:17Pericarditis III: Medical Management
17
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
17
01:25Pericarditis IV: Nursing Management
21
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
21