Challenges in the Diagnosis of Giant Cell Arteritis Before Visual Loss

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Author Info

Faaiq Hassan Muhammed Omar Qadir Shirish Dubey Sergio Pagliarini Purnima Mehta

Corresponding Author

Purnima Mehta
University Hospital Coventry & Warwickshire, Clifford Bridge Road, Coventry, UK

A B S T R A C T

Background: Giant cell arteritis (GCA) is the most common type of systemic vasculitis affecting the elderly. Ophthalmic presentations of GCA in particular can be difficult to identify prior to permanent visual loss occurring. Methods: Here, we present 3 challenging cases as a retrospective series to highlight the variable presentations of GCA with ophthalmic involvement, but GCA was not suspected due to atypical presentation. Results: Unfortunately, all 3 cases went on to develop visual loss in the affected eye due to a delay in diagnosis or treatment. The authors wish to highlight the challenges posed to the referring clinicians, when patients had systemic/ocular co-morbidities, which delayed the suspicion of GCA Conclusion with a Practical Point: Our cases highlight the variable presentations of this condition as well as the devastating ophthalmic implications that GCA can have. A high index of suspicion must be maintained; particularly in elderly patients with atypical presentations.

Article Info

Article Type

Case Report

Publication history

Received: Sat 04, Jul 2020
Accepted: Mon 20, Jul 2020
Published: Mon 27, Jul 2020

Copyright

© 2023 Purnima Mehta. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.NNB.2020.03.06