Article Text

other Versions

PDF
Giant cell arteritis presenting with bilateral orbital inflammatory disease and enhancing superficial temporal arteries
  1. Jamie R Mitchell1,
  2. Iris Krashin-Bichler2,
  3. Marc Rosenblum3,
  4. Eli L Diamond4,
  5. Marc J Dinkin1
  1. 1Department of Ophthalmology, Weill Cornell Medical Center, New York, New York, USA
  2. 2Department of Ophthalmology, Tel Aviv Medical Center, Tel Aviv, Israel
  3. 3Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA
  4. 4Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA
  1. Correspondence to Dr Jamie R Mitchell, Department of Ophthalmology, Weill Cornell Medical Center, 1305 York Ave. 11th floor, New York, NY 10021, USA; jam9181{at}med.cornell.edu

Statistics from Altmetric.com

Case report

A 68-year-old man with metastatic prostate cancer was admitted with a 1-week history of bilateral ‘conjunctivitis’, headaches and horizontal diplopia. On examination, the superficial temporal arteries were bilaterally prominent and indurated, with conjunctival injection and chemosis. There were bilateral abduction deficits, but visual acuity and fundi were normal.

MR scan of the brain and orbits showed bilateral enhancement of the temporal arteries with intraconal fat stranding but with no extra-ocular muscle enlargement or orbital mass (figure 1A,B). His erythrocyte sedimentation rate was elevated at 103 mm/1st h (<20), serum C reactive protein was 14 mg/L (<10) and CSF: …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Editors' choice
    BMJ Publishing Group Ltd