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[Occult temporal arteritis--a case report (author's transl)]

T M Radda, S Binder

    Wiener Klinische Wochenschrift
    |April 11, 1980
    PubMed
    Summary
    This summary is machine-generated.

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    Occult temporal arteritis can affect the optic nerve and central retinal artery, often without typical symptoms. Early steroid treatment is crucial to prevent vision loss in these cases.

    Area of Science:

    • Ophthalmology
    • Vascular Neurology

    Background:

    • Ischaemic optic neuropathy and central retinal artery occlusion are serious vascular events affecting vision.
    • Temporal arteritis (giant cell arteritis) is a vasculitis that can cause these ocular complications.

    Observation:

    • A 57-year-old female presented with ischaemic papilloedema, followed by pseudopapillitis in the contralateral eye.
    • Diagnosis of temporal arteritis was confirmed via temporal artery biopsy.

    Findings:

    • The patient's presentation mimicked isolated ischaemic ocular events, lacking typical systemic symptoms of temporal arteritis.
    • This highlights the 'occult' or 'subclinical' presentation of temporal arteritis.

    Implications:

    • Consider temporal arteritis in all cases of optic nerve ischaemia or central retinal artery occlusion, especially with elevated erythrocyte sedimentation rate.

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  • Prompt high-dose corticosteroid therapy is vital to preserve sight in suspected cases of temporal arteritis-related ocular ischaemia.