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A 71-year-old man with bilateral vision loss
Digital Journal of Ophthalmology 2017
Volume 23, Number 3
September 3, 2017
DOI: 10.5693/djo.03.2017.03.002
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Katy C. Liu, MD, PhD | Department of Ophthalmology, Duke University, Durham, North Carolina
Jullia A. Rosdahl, MD, PhD | Department of Ophthalmology, Duke University, Durham, North Carolina
Mays El-Dairi, MD | Department of Ophthalmology, Duke University, Durham, North Carolina
Differential Diagnosis
Although there was high clinical suspicion for GCA, the differential diagnosis included infectious and paraneoplastic etiologies such as syphilis and lymphoma. Syphilis can have a variety of ocular manifestations including keratitis, papilledema, vasculitis, and chorioretinitis. Primary intraocular lymphoma can present as nonspecific uveitis with vitritis, less often as retinal vasculitis or vascular occlusion. Although less likely, other vasculitic diseases were considered including lupus and ANCA-associated vasculitis.
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