镜像动脉困境。

IF 5.9 2区医学 Q1 OPHTHALMOLOGY Survey of ophthalmology Pub Date : 2025-09-01 Epub Date: 2025-02-28 DOI:10.1016/j.survophthal.2025.02.006

Skenda Jean-Charles , Marissa K. Shoji , Don O. Kikkawa , M. Tariq Bhatti

{"title":"镜像动脉困境。","authors":"Skenda Jean-Charles , Marissa K. Shoji , Don O. Kikkawa , M. Tariq Bhatti","doi":"10.1016/j.survophthal.2025.02.006","DOIUrl":null,"url":null,"abstract":"<div><div>An 89-year-old man presented with acute and painless loss of vision in his left eye. He denied constitutional symptoms. Visual acuity was light perception with pallid optic disc edema. Neurological work-up and serological inflammatory markers were normal. Due to the clinical suspicion for giant cell arteritis (GCA), he was started on corticosteroid therapy and bilateral temporal artery biopsies (TABs) were performed. Histopathology of the left temporal artery ipsilateral to the visual loss was negative for arteritis, while the contralateral temporal artery was positive for arteritis. The diagnostic evaluation of GCA and value of unilateral versus bilateral TABs is discussed.</div></div>","PeriodicalId":22102,"journal":{"name":"Survey of ophthalmology","volume":"70 5","pages":"Pages 1029-1033"},"PeriodicalIF":5.9000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The mirrored arterial dilemma\",\"authors\":\"Skenda Jean-Charles , Marissa K. Shoji , Don O. Kikkawa , M. Tariq Bhatti\",\"doi\":\"10.1016/j.survophthal.2025.02.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>An 89-year-old man presented with acute and painless loss of vision in his left eye. He denied constitutional symptoms. Visual acuity was light perception with pallid optic disc edema. Neurological work-up and serological inflammatory markers were normal. Due to the clinical suspicion for giant cell arteritis (GCA), he was started on corticosteroid therapy and bilateral temporal artery biopsies (TABs) were performed. Histopathology of the left temporal artery ipsilateral to the visual loss was negative for arteritis, while the contralateral temporal artery was positive for arteritis. The diagnostic evaluation of GCA and value of unilateral versus bilateral TABs is discussed.</div></div>\",\"PeriodicalId\":22102,\"journal\":{\"name\":\"Survey of ophthalmology\",\"volume\":\"70 5\",\"pages\":\"Pages 1029-1033\"},\"PeriodicalIF\":5.9000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Survey of ophthalmology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0039625725000360\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Survey of ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0039625725000360","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/28 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

89岁男性，左眼急性无痛性视力丧失。他否认有体质症状。视敏度轻，视盘水肿苍白。神经系统检查和血清学炎症指标正常。由于临床怀疑为巨细胞动脉炎（GCA），患者开始接受皮质类固醇治疗，并进行双侧颞动脉活检（TABs）。与视力丧失同侧的左颞动脉动脉炎呈阴性，而对侧颞动脉动脉炎呈阳性。讨论了GCA的诊断评价和单侧与双侧tab的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

The mirrored arterial dilemma

An 89-year-old man presented with acute and painless loss of vision in his left eye. He denied constitutional symptoms. Visual acuity was light perception with pallid optic disc edema. Neurological work-up and serological inflammatory markers were normal. Due to the clinical suspicion for giant cell arteritis (GCA), he was started on corticosteroid therapy and bilateral temporal artery biopsies (TABs) were performed. Histopathology of the left temporal artery ipsilateral to the visual loss was negative for arteritis, while the contralateral temporal artery was positive for arteritis. The diagnostic evaluation of GCA and value of unilateral versus bilateral TABs is discussed.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Survey of ophthalmology 医学-眼科学

CiteScore

10.30

自引率

2.00%

发文量

138

审稿时长

14.8 weeks

期刊介绍： Survey of Ophthalmology is a clinically oriented review journal designed to keep ophthalmologists up to date. Comprehensive major review articles, written by experts and stringently refereed, integrate the literature on subjects selected for their clinical importance. Survey also includes feature articles, section reviews, book reviews, and abstracts.