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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
Treatment
Given the high clinical suspicion for giant cell arteritis (GCA), the patient was started on intravenous methylprednisone on admission and temporal artery biopsy was performed the following day. After 3 days of intravenous methylprednisone, the patient was transitioned to oral prednisone followed by a slow steroid taper as managed by rheumatology. The patient’s inflammatory markers trended down with steroid treatment.
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