en ENGLISH
eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
Bieżący numer Archiwum Filmy Artykuły w druku O czasopiśmie Suplementy Rada naukowa Recenzenci Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac Standardy etyczne i procedury
 
3/2022
vol. 124
 
Poleć ten artykuł:
Udostępnij:
więcej
 
 
streszczenie artykułu:
Opis przypadku

Color Doppler imaging of a temporal artery – a new diagnostic tool in giant cell arteritis

Claudia Wietrzykowska
1
,
Marta P. Wiącek
1, 2
,
Elżbieta Krytkowska
1
,
Marcin Milchert
3
,
Marek Brzosko
3
,
Anna Machalińska
1

1.
First Department of Ophthalmology, Pomeranian Medical University, Szczecin, Poland
2.
Institute of Physics, University of Szczecin, Szczecin, Poland
3.
Department of Rheumatology, Internal Medicine Geriatrics and Clinical Immunology, Pomeranian Medical University, Szczecin, Poland
KLINIKA OCZNA 2022, 124
Data publikacji online: 2022/09/07
Pełna treść artykułu
Pobierz cytowanie
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Giant cell arteritis (GCA) is the most common potentially sight-threatening vasculitis. The typical clinical image with headache or jaw claudication accompanied by erythrocyte sedimentation rate (ESR) over 50 mm/h, confirmed by inflammatory features in temporal artery biopsy (TAB), is essential for GCA diagnosis. About 30% of patients experience a sudden loss of vision in one eye. Delay in treatment may lead to bilateral blindness, which makes GCA an ophthalmological emergency.

An 80-year-old male patient was admitted to the ophthalmological emergency due to sudden and permanent vision loss of his left eye. He also complained of recurrent compressive headaches. However, he denied a history of general weakness, or jaw claudication. The distance visual acuity in the left eye had decreased to 0.1 and a blurred, elevated left optic disc in indirect ophthalmoscopy was observed. In palpation the temporal artery pulse was detectable. Interestingly, vascular smooth muscle thickening was detected in TAB. Despite the uncharacteristic TAB result and ESR equal to 27 mm/h, temporal artery color Doppler imaging (CDI) revealed the “halo” symptom confirmed by the pressure sign. According to typical features in CDI, GCA was diagnosed and the proper treatment was implemented. As a result, substantial resolution of inflammatory parameters in blood tests and CDI was observed. During the 24-month follow-up the good general and ophthalmological condition was maintained.

Despite the lack of typical symptoms in the presented case, CDI determined quick and accurate diagnosis for proper treatment implementation. Color Doppler imaging is a non-invasive and highly specific tool for both diagnostics and treatment monitoring in GCA.
słowa kluczowe:

asymptomatic, color doppler imaging, diagnostics, giant cell arteritis, temporal artery biopsy

facebook linkedin twitter
© 2022 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.