Clinical Case Database / Category: Patient Management
Sudden painless loss of vision: giant cell arteritis.
Sangeetha Govinda Rajoo, Miss Antigoni Koukkoulli, Jaishree Gandhewar
Foundation Years Journal, volume 4, issue 6, p.49 (123Doc Education, London, June 2010)
The following article discusses the clinical presentation, appropriate investigations and the management of giant cell arteritis (GCA). Further, it reviews the social support networks and rehabilitation pathways available for patients with visual loss.
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Sangeetha Govinda Rajoo
Foundation Year 1 Doctor
Queens Hospital Burton
Miss Antigoni Koukkoulli
MBBS, MRCSEd Ophthalmology
St James's University Hospital
Queens Hospital Burton
1. J M Calvo-Romero, Giant cell arteritis. Postgrad Med J 2003; 79:511-515
2. SS Hayreh, Anterior ischaemic optic neuropathy Brit. J. Ophthal (1978) 58, 964.
3. M Parikh, N Miller, A Lee et al, Prevalence of a normal C-reactive protein with an elevated erythrocyte sedimentation rate in biopsy proven giant cell arteritis. Ophthal 2006; 113 (10): 1842-1845.
4. R Frearson, T Cassidy, J Newton, Polymyalgia rheumatic and temporal arteritis: evidence and guidelines for diagnosis and management in older people Age and Ageing 2003; 32:370-374.
5. Royal National Institute of Blind People http://www.rnib.org.uk.
6. Action for Blind People http://www.actionforblindpeople.org.uk/
7. Directgov http://www.direct.gov.uk
8. Hunder GG, Bloch DA, Michel BA. The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis Arthritis Rheum. 1990 August; 33(8):1122-8.
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All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.