지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 224 - 227 (4page)
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초록· 키워드
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Giant cell arteritis (GCA) is a rare disease among Asians. Arteritic anterior ischemic optic neuropathy, which accompanies GCA, has not yet been reported in Koreans. Diagnosis of GCA is difficult if typical symptoms other than visual loss are absent. Here, we report a case of an 83-year-old Korean woman presenting with sudden visual loss in both eyes (oculus uterque, OU). Her visual acuities included perception of light in the right eye (oculus dexter, OD) and perception of hand motion in the left eye (oculus sinister, OS). The results of the Hardy-Rand-Rittler test and Ishihara test showed total dyschromatopsia OU. The Goldmann perimetry test revealed a total field defect OD and paracentral island OS. Fundus examination revealed chalky-white disc swelling OU. Other systemic symptoms and signs were unremarkable. The erythrocyte sedimentation rate, C-reactive protein and platelet count were highly elevated. Temporal artery biopsy revealed multiple lymphocytes and multinucleated giant cells in the arterial media layer. To our knowledge, this is the first report of GCA in a Korean that has been confirmed with temporal artery biopsy. In conclusion, silent GCA can occur in Koreans, and hence, elderly patients presenting with chalky-white disc swelling, and corresponding laboratory findings must be evaluated for GCA.
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참고문헌 (21)
참고문헌 신청
Aui-Aree N / 2010 / A variety of atypical manifestations in giant cell arteritis / J Med Assoc Thai 93 : 629 ~ 632
Chaudhry IA / 2007 / Epidemiology of giant-cell arteritis in an Arab population : a 22-year study / Br J Ophthalmol 91 : 715 ~ 718
Chen CH / 2005 / Temporal arteritis / J Chin Med Assoc 68 : 333 ~ 335
Cheng CK / 2010 / Giant cell(temporal)arteritis with anterior ischemic optic neuropathy : a biopsyproven case in Taiwan / J Formos Med Assoc 109 : 550 ~ 554
Cullen JF / 2003 / Giant cell arteritis (temporal arteritis, cranial arteritis) and a case from Singapore / Singapore Med J 44 : 306 ~ 308
Chaudhry IA / 2007 / Epidemiology of giant-cell arteritis in an Arab population : a 22-year study / Br J Ophthalmol 91 : 715 ~ 718
Chen CH / 2005 / Temporal arteritis / J Chin Med Assoc 68 : 333 ~ 335
Cheng CK / 2010 / Giant cell(temporal)arteritis with anterior ischemic optic neuropathy : a biopsyproven case in Taiwan / J Formos Med Assoc 109 : 550 ~ 554
Cullen JF / 2003 / Giant cell arteritis (temporal arteritis, cranial arteritis) and a case from Singapore / Singapore Med J 44 : 306 ~ 308
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