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Graefes Arch Clin Exp Ophthalmol. 2001 Jul;239(7):509-13.

Orbital presentations of giant cell arteritis.

Author information

1
Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City 52242, USA. Andrew-lee@uiowa.edu

Abstract

BACKGROUND:

giant cell arteritis (GCA) is a systemic vasculitis that may affect the optic nerve and cause blindness (e.g. ischemic optic neuropathy). Orbital inflammatory disease, however, is an uncommon presentation of GCA.

PURPOSE:

to alert clinicians to the orbital presentations of GCA.

PATIENTS AND METHODS:

a retrospective case series from tertiary care academic ophthalmic referral centers of four patients with orbital manifestations of giant cell arteritis.

RESULTS:

presentation of cases and review of the literature. In three cases, a temporal artery biopsy was diagnostic of GCA, but in one case, an orbital biopsy was needed to confirm the diagnosis.

CONCLUSION:

GCA can have orbital manifestations and clinicians should be aware of this unusual presentation of GCA in cases of presumed orbital inflammatory pseudotumor in the elderly.

PMID:
11521695
DOI:
10.1007/s004170100310
[Indexed for MEDLINE]

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