A Rare Association of Giant Cell Arteritis with Recurrent Corneal UlcerReport as inadecuate




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We report a rare case of association of temporal arteritis with recurrent central corneal ulcer. A91-year-old male with a remote history of clinically diagnosed giant cell arteritis GCA and penetratingkeratoplasty PK for corneal edema in 1990’s in the left eye presented with irritation andsevere dry eye. He progressively developed central corneal ulcer regardless of treatment with aggressivelubrication and patching. The clinical course, blood tests and temporal artery biopsy resultsyielded the diagnosis of recurrent GCA. The clinical course improved after starting oral steroids.The case report illustrates the importance of ruling out GCA in patients with recurrent cornealulcers and history of GCA. It also highlights the significance of shared understanding betweenprimary care physicians and specialists to handle common and chronic diseases to make efficientdiagnoses and plan treatment regimens. This is the first plausible case of reported GCA associationwith central corneal ulcer in the United States.

KEYWORDS

Giant Cell Arteritis, Temporal Arteritis, Central Corneal Ulcer, Sterile Ulcer

Cite this paper

Bondalapati, S. , Khine, K. , Bitar, M. , Chesnutt, D. and M. Davis, R. 2016 A Rare Association of Giant Cell Arteritis with Recurrent Corneal Ulcer. Open Journal of Ophthalmology, 6, 144-149. doi: 10.4236-ojoph.2016.63020.





Author: Sailaja Bondalapati1*, Kay Khine2, Maya Bitar2, David Chesnutt2, Richard M. Davis2

Source: http://www.scirp.org/



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