Giant cell arteritis (Horton's disease) in very elderly patients aged 80 years and older: A study of 25 cases

2015 ◽  
Vol 16 (6) ◽  
pp. 679-685 ◽  
Author(s):  
Géraldine Muller ◽  
Hervé Devilliers ◽  
Jean-François Besancenot ◽  
Patrick Manckoundia
Keyword(s):  
Elderly Patients ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Very Elderly ◽  
Horton’S Disease

scholarly journals Mycophenolate mofetil as steroid-sparing treatment for elderly patients with giant cell arteritis: report of three cases

2012 ◽  
Vol 24 (3) ◽  
pp. 273-277 ◽  
Author(s):  
Savino Sciascia ◽  
Doloretta Piras ◽  
Simone Baldovino ◽  
Alessandra Russo ◽  
Carla Naretto ◽  
...  
Keyword(s):  
Mycophenolate Mofetil ◽  
Elderly Patients ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Steroid Sparing

Visual fields in giant cell arteritis (Horton’s disease)

2011 ◽  
Vol 2 (4) ◽  
Author(s):  
Ana Fakin ◽  
Viktorija Kerin ◽  
Marko Hawlina
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Visual Fields ◽  
Horton’S Disease

Abstract

scholarly journals AB0383 OCULAR MANIFESTATIONS DURING GIANT CELL ARTERITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1219.1-1219
Author(s):  
A. Mzabi ◽  
N. Adaily ◽  
L. Ines ◽  
I. Ben Hassine ◽  
J. Anoun ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Visual Acuity ◽  
Optic Neuritis ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Optic Neuropathy ◽  
Medecine Interne ◽  
Anterior Ischemic Optic Neuropathy ◽  
Ischemic Optic Neuropathy ◽  
Horton’S Disease

Background:Horton’s disease (HD) or giant cell arteritis (GCA) is a segmental and plurifocal giant cell inflammatory panarteritis, predominant in large and medium sized vessels. Ocular damage during giant cell arteritis is frequent and is considered the most serious damage, possibly causing blindness in 15% of cases in recent series (1).Objectives:Describe the different ophthalmological manifestations during GCA.Methods:This is a retrospective monocentric descriptive study of 19 files of subjects diagnosed with HD, hospitalized in the internal medicine department of de Sousse between January 2000 and December 2020.Results:The average age of patients at diagnosis was 70 years, with extremes of 53 and 92 years. There were 14 females (71.4%) and 5 males (28.6%). Ophthalmologic manifestations were present in 13 patients (71%), 6 of whom were female.Decreased visual acuity was reported in 8 cases (58.33%) with biolateral blindness in one case, visual blur in 9 cases (75%), eye pain in two cases.Ophthalmological examination was normal in 8 cases (42%). A decrease in visual acuity was objective in 4 cases (21%). One case of nodular episcleritis was noted. The fundus showed anterior ischemic optic neuropathy in 2 cases (10.5%) and left optic atrophy in another case. A visual field was performed in 2 cases showing associated retrobulbar optic neuritis. Therapeutically, Methylprednisolone boli were prescribed in patients with anterior ischemic optic neuropathy, followed by oral corticosteroid therapy at a dose of 1mg/kg/day. A dose of 0.7 mg/kg/day of prednisone was prescribed in the other cases. Blindness was irreversible.Conclusion:The most common eye diseases in HD are acute anterior ischemic optic neuritis, retinal artery occlusion and posterior ischemic optic neuropathy. Episcleritis is a rare ophthalmologic manifestation of this vasculitis (2). More exceptionally, Horton’s disease may cause NORB by affecting the vessels that supply the optic nerve (< 5% of cases)(3,4). In our series of studies, acute anterior ischemic optic neuritis was less observed than in the literature. This is probably due to the reduced number of patients.References:[1]M.Khedher. I.Rachdi. Z.Aydi. F.Daoud. B.Ben Dhaou. F.Boussema. Eye damage during Horton’s disease: about 42 cases. La Revue de Médecine Interne 2017; 38:115.[2]Rim Klii. Wafa Chebbi. Nodular episcleritis: an unusual inaugural manifestation of Horton’s disease. Pan Afr Med J 2015; 21: 20.[3]M.EssouriI.RachdiF.DaoudZ.AydiH.ZoubeidiB.Ben Dhaou et al. Retrobulbar Optic Neuropathy in Internal Medicine. La Revue de Médecine Interne 2018; 39: 132.[4]M A González-Gay, C García-Porrúa, J Llorca, A H Hajeer, F Brañas, A Dababneh et al. Visual manifestations of giant cell arteritis. Trends and clinical spectrum in 161 patients. Medicine (Baltimore) 2000;79(5):283-92.Disclosure of Interests:None declared

Giant Cell Arteritis (Horton's Disease) of the Axillary Artery — Case Reports

Angiology ◽  
1989 ◽  
Vol 40 (6) ◽  
pp. 593-601 ◽  
Author(s):  
H. Van Damme ◽  
J. Fourny ◽  
M. Zicot ◽  
R. Limet
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Axillary Artery ◽  
Case Reports ◽  
Horton’S Disease

AN ATYPICAL CASE OF GIANT CELL ARTERITIS (HORTON'S DISEASE) ASSOCIATED WITH FACIAL SWELLING, CONFUSION, AND PERICARDITIS IN AN ELDERLY WOMAN

2010 ◽  
Vol 58 (10) ◽  
pp. 2040-2041 ◽  
Author(s):  
Mathieu Blot ◽  
Hélène Guépet ◽  
Marie-Hélène Aubriot-Lorton ◽  
Pierre Pfitzenmeyer ◽  
Patrick Manckoundia
Keyword(s):  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Elderly Woman ◽  
Atypical Case ◽  
Facial Swelling ◽  
Horton’S Disease
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