Giant cell arteritis presenting with isolated cotton wool spots: a case report
| dc.authorid | 0000-0002-0608-9195 | |
| dc.authorid | 0000-0002-0391-5420 | |
| dc.authorid | 0000-0003-2520-2664 | |
| dc.authorid | 0000-0002-8052-9558 | |
| dc.authorid | 0000-0001-6848-7239 | |
| dc.contributor.author | Akbulut, Betül | |
| dc.contributor.author | Yaman, Aylin | |
| dc.contributor.author | Lebe, Banu | |
| dc.contributor.author | Söylev Bajin, Meltem | |
| dc.contributor.author | Saatci, Ali Osman | |
| dc.date.accessioned | 2024-03-22T08:41:09Z | |
| dc.date.available | 2024-03-22T08:41:09Z | |
| dc.date.issued | 2023 | |
| dc.department | Tıp Fakültesi | |
| dc.description.abstract | This case aims to report a patient who presented with reduced vision in her left eye and was diagnosed with giant cell ar- teritis (GCA) associated with isolated cotton wool spots (CWS). An 82-year-old woman presented with reduced visual acuity of 20/200 in her left eye for a day. Fundus examination revealed only multiple peripapillary CWS in the left eye. She had an elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). A preliminary diagnosis of temporal arteritis, intravenous high-dose steroid therapy, was administered for 3 days. Then, the systemic symptoms resolved, and her ESR and CRP dropped. Temporal artery biopsy confirmed the diagnosis of GCA. The next 2 months, in the fundus examination, CWS resolved completely. The patient continued using systemic steroids and subcutaneous methotrexate with long-term gradual reduction. This extreme case should raise awareness for clinicians in the etiological investigation of CWS to identify sight-threatening GCA and promptly initiate appropriate treatment. | |
| dc.identifier.doi | 10.14744/eer.2023.29494 | |
| dc.identifier.endpage | 40 | en_US |
| dc.identifier.issn | 2757-8135 | |
| dc.identifier.issn | 2757-9816 | |
| dc.identifier.issue | 1 | en_US |
| dc.identifier.startpage | 36 | en_US |
| dc.identifier.uri | https:/dx.doi.org10.14744/eer.2023.29494 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12451/11514 | |
| dc.identifier.volume | 3 | en_US |
| dc.indekslendigikaynak | TR-Dizin | |
| dc.language.iso | en | |
| dc.publisher | Ali Cangül | |
| dc.relation.ispartof | European Eye Research | |
| dc.relation.publicationcategory | Konferans Öğesi - Uluslararası - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.subject | Cotton Wool Spot | |
| dc.subject | Giant Cell Arteritis | |
| dc.subject | Ophthalmological Emergency | |
| dc.title | Giant cell arteritis presenting with isolated cotton wool spots: a case report | |
| dc.type | Conference Object |
