Giant cell arteritis presenting with isolated cotton wool spots: a case report
Yıl: 2023 Cilt: 3 Sayı: 1 Sayfa Aralığı: 36 - 40 Metin Dili: İngilizce DOI: 10.14744/eer.2023.29494 İndeks Tarihi: 01-06-2023
Giant cell arteritis presenting with isolated cotton wool spots: a case report
Öz: 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.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- 1. Jennette JC, Falk RJ, Bacon PA, Basu N, Cid MC, Ferrario F, et al. 2012 revised international chapel hill consensus conference nomenclature of vasculitides. Arthritis Rheum 2013;65:1–11.
- 2. De Smit E, O’Sullivan E, Mackey DA, Hewitt AW. Giant cell arte- ritis: Ophthalmic manifestations of a systemic disease. Graefes Arch Clin Exp Ophthalmol 2016;254:2291–306.
- 3. Hayreh SS, Podhajsky PA, Zimmerman B. Ocular manifestations of giant cell arteritis. Am J Ophthalmol 1998;125:509–20.
- 4. Johnson MC, Lee AG. Giant cell arteritis presenting with cot- ton wool spots. Semin Ophthalmol 2008;23:141–2.
- 5. De Smit E, O’Sullivan E. Cotton-wool spots in giant cell arteri- tis. CMAJ 2013;185:796.
- 6. Rai AS, Freund P, Margolin EA, Micieli JA. Numerous cot- ton wool spots from giant cell arteritis. J Clin Rheumatol 2020;26:e124.
- 7. Melberg NS, Grand MG, Dieckert JP, Barney NP, Blumenkranz MS, Boone DE, et al. Cotton-wool spots and the early diagno- sis of giant cell arteritis. Ophthalmology 1995;102:1611–4.
- 8. Sanchez VM, Maeso MP, Bravo IR, Carrasco E. Cotton-wool spots as the first manifestation of giant arteritis: Two cases. Arch Soc Esp Oftalmol 2004;79:449–51.
APA | Akbulut Yagci B, Yaman A, Lebe B, SOYLEV BAJIN M, Saatci A (2023). Giant cell arteritis presenting with isolated cotton wool spots: a case report. , 36 - 40. 10.14744/eer.2023.29494 |
Chicago | Akbulut Yagci Betul,Yaman Aylin,Lebe Banu,SOYLEV BAJIN MELTEM,Saatci Ali Osman Giant cell arteritis presenting with isolated cotton wool spots: a case report. (2023): 36 - 40. 10.14744/eer.2023.29494 |
MLA | Akbulut Yagci Betul,Yaman Aylin,Lebe Banu,SOYLEV BAJIN MELTEM,Saatci Ali Osman Giant cell arteritis presenting with isolated cotton wool spots: a case report. , 2023, ss.36 - 40. 10.14744/eer.2023.29494 |
AMA | Akbulut Yagci B,Yaman A,Lebe B,SOYLEV BAJIN M,Saatci A Giant cell arteritis presenting with isolated cotton wool spots: a case report. . 2023; 36 - 40. 10.14744/eer.2023.29494 |
Vancouver | Akbulut Yagci B,Yaman A,Lebe B,SOYLEV BAJIN M,Saatci A Giant cell arteritis presenting with isolated cotton wool spots: a case report. . 2023; 36 - 40. 10.14744/eer.2023.29494 |
IEEE | Akbulut Yagci B,Yaman A,Lebe B,SOYLEV BAJIN M,Saatci A "Giant cell arteritis presenting with isolated cotton wool spots: a case report." , ss.36 - 40, 2023. 10.14744/eer.2023.29494 |
ISNAD | Akbulut Yagci, Betul vd. "Giant cell arteritis presenting with isolated cotton wool spots: a case report". (2023), 36-40. https://doi.org/10.14744/eer.2023.29494 |
APA | Akbulut Yagci B, Yaman A, Lebe B, SOYLEV BAJIN M, Saatci A (2023). Giant cell arteritis presenting with isolated cotton wool spots: a case report. European eye research, 3(1), 36 - 40. 10.14744/eer.2023.29494 |
Chicago | Akbulut Yagci Betul,Yaman Aylin,Lebe Banu,SOYLEV BAJIN MELTEM,Saatci Ali Osman Giant cell arteritis presenting with isolated cotton wool spots: a case report. European eye research 3, no.1 (2023): 36 - 40. 10.14744/eer.2023.29494 |
MLA | Akbulut Yagci Betul,Yaman Aylin,Lebe Banu,SOYLEV BAJIN MELTEM,Saatci Ali Osman Giant cell arteritis presenting with isolated cotton wool spots: a case report. European eye research, vol.3, no.1, 2023, ss.36 - 40. 10.14744/eer.2023.29494 |
AMA | Akbulut Yagci B,Yaman A,Lebe B,SOYLEV BAJIN M,Saatci A Giant cell arteritis presenting with isolated cotton wool spots: a case report. European eye research. 2023; 3(1): 36 - 40. 10.14744/eer.2023.29494 |
Vancouver | Akbulut Yagci B,Yaman A,Lebe B,SOYLEV BAJIN M,Saatci A Giant cell arteritis presenting with isolated cotton wool spots: a case report. European eye research. 2023; 3(1): 36 - 40. 10.14744/eer.2023.29494 |
IEEE | Akbulut Yagci B,Yaman A,Lebe B,SOYLEV BAJIN M,Saatci A "Giant cell arteritis presenting with isolated cotton wool spots: a case report." European eye research, 3, ss.36 - 40, 2023. 10.14744/eer.2023.29494 |
ISNAD | Akbulut Yagci, Betul vd. "Giant cell arteritis presenting with isolated cotton wool spots: a case report". European eye research 3/1 (2023), 36-40. https://doi.org/10.14744/eer.2023.29494 |