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Bilateral arteritic amterior optic neuropathy in a case of polymyalgia rheumatica Megumi Matsutaka 1 , Keijiro Sugita 1 , Masahiro Zako 1 1Dept of Ophthalmol, Aichi Med Univ pp.885-890
Published Date 2015/6/15
DOI https://doi.org/10.11477/mf.1410211379
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Abstract. Purpose:To report a case of polymyalgia rheumatica who developed bilateral arteritic anterior optic neuropathy. Case:An 89-year-old female presented with bilateral visual field defect since the previous day. She had had symptoms of polymyalgia rheumatica since 2 months before. She had had signs of giant cell arteritis since 3 days before. Findings:Corrected visual acuity was 0.5 right and 0.08 left. Both eyes showed papilledema and constricted visual field. She showed elevated sedimentation rate. She was diagnosed with polymyalgia rheumatic, giant cell arteritis, and bilateral arteritic anterior optic neuropathy. Corticosteroid pulse therapy was followed by normalization of visual function in the right eye 2 months later. There has been no recurrence for 5 months until present. Conclusion:The present case illustrates that early diagnosis and treatment are essential for polymyalgia rheumatic associated with giant cell arteritis and bilateral arteritic anterior optic neuropathy.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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