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This meeting has been awarded 20 CME credits

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Posters

Retinal vascular occlusion as the first manifestation of Takayasu's arteritis

Poster Details

First Author: M.Carbonell Puig SPAIN

Co Author(s):    S. Ruiz Bilbao   P. Romera Romero               0   0 0   0 0   0 0   0 0

Abstract Details



Purpose:

The case that we present is a rare form of Takayasu's Arteritis presentation, which allowed to come to the diagnosis without the presence of other typical manifestations of this entity

Setting:

Analyze a rare ophthalmological presentation on a systemic vasculitis

Methods:

77-year-old male, hypertense and diabetic, with precedent of central artery occlusion in the right eye 2 months ago, came for study of altitudinal visual field defect in the left eye. Exploration reveals high ESR and RCP, cardiological and. neurological study without alterations, but evidence of ulcerate ateromatous plates in both carotid arteries.

Results:

PET-TC showed glucidic hypermetabolism in multiple vessels, that is compatible with systemic vasculitis. With the arteriographic and PET-TC findings in medium and great vessels and high ESR and RCP, Takayasu's Arteritis is suspected, and treated with high doses of glucocorticoids

Conclusions:

The ophthalmological manifestations are not usually present in the initial form of presentation of this entity, but they appear in 60 % of the cases during the follow-up, with a wide spectrum. The most frequent is hipotensive retinopathy.

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