Statistics from Altmetric.com
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.
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: …
Contributors JRM was the corresponding author and contributed to the manuscript content, editing and submission. IKB and ELD contributed to the manuscript content and editing. MR contributed the pathology images and descriptions. MJD contributed to editing and content of the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Ashwin Pinto, Southampton, UK.
Read the full text or download the PDF:
Other content recommended for you
- Vision loss in giant cell arteritis
- An unusual case of giant cell arteritis
- Four common diseases causing sudden blindness or death in the eye emergency department
- Fortnightly review: Polymyalgia rheumatica and temporal arteritis: diagnosis and management
- Extensive intracranial involvement with multiple dissections in a case of giant cell arteritis
- Bilateral vertebral artery occlusion with retrograde basilary flow in three cases of giant cell arteritis
- Long delay from symptom onset to first consultation contributes to permanent vision loss in patients with giant cell arteritis: a cohort study
- The suitability of the ultrasound biomicroscope for establishing texture in giant cell arteritis
- Pathological features of temporal arteries in patients with giant cell arteritis presenting with permanent visual loss
- Rapid visual recovery following intravenous tocilizumab in glucocorticoid resistant refractory giant cell arteritis