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Occult Temporal Arteritis

Occult Temporal Arteritis Abstract The classic syndrome of temporal arteritis has been the subject of much attention in general medical and ophthalmic literature, and its features are familiar to most ophthalmologists. However, little emphasis has been given to the fact that temporal arteritis may be a distinctly occult disease without sufficient symptoms and signs to alert the physician to its presence. Because of the devastating ocular complications of the disease and its potential reversibility by appropriate therapy, it is essential that ophthalmologists recognize temporal arteritis at the earliest possible stage of the disease. It is the purpose of this paper to discuss the occult nature which this disease may assume and to document this occult form with 5 cases. Classical Temporal Arteritis Temporal arteritis was first described by Hutchinson in 1890,1 but attention was not attracted to it as a significant syndrome until Horton2 in 1932 described it in detail. Since this References 1. References 3, 13, 15, 16, 21, 23, 26, and 28. 2. A combination of tetracycline phosphate and nystatin. 3. References 3, 9, 11, 12, 19, 21, 23, and 27. 4. Hutchinson, J.: Diseases of Arteries , Arch. Surg. (London) 1:323, 1890. 5. Horton, B. T.; Magath, T. B., and Brown, G. E.: An Undescribed Form of Arteritis of the Temporal Vessel , Proc. Mayo Clin. 7:700, 1932. 6. Russell, R. W. R.: Giant-Cell Arteritis , Quart. J. Med. 28:471, 1959. 7. Font, J. H.: Otolaryngological Aspects of the Temporal Arteritis Syndrome , J.A.M.A. 174: 853, 1960.Crossref 8. Bodenhauser, J. H.: Uncommon Findings in Temporal Arteritis and an Etiologic Suggestion , Graefe Arch. Ophthal. 160:113, 1958.Crossref 9. Levy, S., and Liban, E.: Temporal Arteritis: Report of an Unusual Case , Harefuah 54:6, 1958. 10. Venturi, G.: Temporal Arteritis (L'Arterite temporale) , Arch. Ottal. 59:453, 1955. 11. Landblad, Y.: Temporal Arteritis Complicated by Iritis , Nord. Med. 56:1794, 1956. 12. Neu, H. J.: Günstiger Verlauf einer doppelseitigen Erblindung bei Arteriitis temporalis , Klin. Mbl. Augenheilk. 134:250, 1959. 13. Davenport, R. C.; Meadows, S. P., and Duguid, J. B.: Discussion: Inflammatory Vascular Diseases Affecting Eyes , Trans. Ophthal. Soc. U.K. 74:5, 1954. 14. Whitfield, A. G. W.; Cook, W. T.; Evans, P. J., and Rudd, C.: Temporal Arteritis and Its Treatment with Cortisone and ACTH , Lancet 1: 408, 1953.Crossref 15. Bennett, G.: Cortisone Therapy of Visual Loss in Temporal Arteritis , Brit. J. Ophthal. 40:430, 1956.Crossref 16. Jager, B. V.: in Harrison, T. R.: Principles of Internal Medicine , New York, McGraw-Hill Book Co., 1958, p. 1708. 17. Cuperstein, R. I.: Affection of the Eyes in the Sensory Syndrome of Temporal Arteritis , Vestn. Oftal 3:11-17, 1958. 18. Meneely, J. K., Jr., and Bigelow, N. H.: Temporal Arteritis , Amer. J. Med. 14:46, 1953.Crossref 19. Savory, M.: in Sorsby, A.: Systemic Ophthalmology , St. Louis, The C. V. Mosby Company, 1958, p. 500. 20. Rizzini, V., and Frassineti, A.: A Fatal Case of Temporal Arteritis , Ophthalmologica (Basel) 130:178, 1955.Crossref 21. Spencer, W. H., and Hoyt, W. F.: A Fatal Case of Giant-Cell Arteritis, (Temporal or Cranial Arteritis) with Ocular Involvement , Arch. Ophthal. 64:862, 1960.Crossref 22. Birkhead, N. C.; Wagener, H. P., and Shick, R. M.: The Treatment of Temporal Arteritis with Adrenal Corticos Steroids , J.A.M.A. 163:821, 1957.Crossref 23. Wagener, H. P., and Hollenhorst, R. W.: Ocular Lesions of Temporal Arteritis , Amer. J. Ophthal. 45:617, 1958. 24. Palm, E.: The Ocular Crisis of the Temporal Arteritis Syndrome (Horton) , Acta Ophthal. 36:208, 1958.Crossref 25. Kreibig, W.: Optikomalazie, die Folge eines Gefässverschlusses im retrobulbären Abschnitt des Sehnerven . Klin. Mbl. Augenheilk. 122: 719, 1953. 26. Mosher, H. A.: The Prognosis in Temporal Arteritis , A.M.A. Arch. Ophthal. 62:641, 1959.Crossref 27. Kendall, D.: Some Complications of Temporal Arteritis , Brit. Med. J. 2:418, 1953.Crossref 28. Bruce, G. M.: Temporal Arteritis as a Cause of Blindness , Amer. J. Ophthal. 33:1568, 1950. 29. Parsons-Smith, G.: Ophthalmic Manifestations of Temporal Arteritis , Brit. J. Ophthal. 36: 615, 1952.Crossref 30. Parsons-Smith, G.: Sudden Blindness in Cranial Arteritis , Brit. J. Ophthal. 43:204, 1959.Crossref 31. Fisher, C. M.: Ocular Palsy in Temporal Arteritis, I , Minn. Med. 42:1258, 1959. 32. Fisher, C. M.: Ocular Palsy in Temporal Arteritis II , Minn. Med. 42:1430, 1959. 33. Fisher, C. M.: Ocular Palsy in Temporal Arteritis III , Minn. Med. 42:1617, 1959. 34. Anderson, B.: Comments on Bruce's Paper on Temporal Arteritis , Trans. Amer. Ophthal. Soc. 47:300, 1949. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1962.00960030012004
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Abstract

Abstract The classic syndrome of temporal arteritis has been the subject of much attention in general medical and ophthalmic literature, and its features are familiar to most ophthalmologists. However, little emphasis has been given to the fact that temporal arteritis may be a distinctly occult disease without sufficient symptoms and signs to alert the physician to its presence. Because of the devastating ocular complications of the disease and its potential reversibility by appropriate therapy, it is essential that ophthalmologists recognize temporal arteritis at the earliest possible stage of the disease. It is the purpose of this paper to discuss the occult nature which this disease may assume and to document this occult form with 5 cases. Classical Temporal Arteritis Temporal arteritis was first described by Hutchinson in 1890,1 but attention was not attracted to it as a significant syndrome until Horton2 in 1932 described it in detail. Since this References 1. References 3, 13, 15, 16, 21, 23, 26, and 28. 2. A combination of tetracycline phosphate and nystatin. 3. References 3, 9, 11, 12, 19, 21, 23, and 27. 4. Hutchinson, J.: Diseases of Arteries , Arch. Surg. (London) 1:323, 1890. 5. Horton, B. T.; Magath, T. B., and Brown, G. E.: An Undescribed Form of Arteritis of the Temporal Vessel , Proc. Mayo Clin. 7:700, 1932. 6. Russell, R. W. R.: Giant-Cell Arteritis , Quart. J. Med. 28:471, 1959. 7. Font, J. H.: Otolaryngological Aspects of the Temporal Arteritis Syndrome , J.A.M.A. 174: 853, 1960.Crossref 8. Bodenhauser, J. H.: Uncommon Findings in Temporal Arteritis and an Etiologic Suggestion , Graefe Arch. Ophthal. 160:113, 1958.Crossref 9. Levy, S., and Liban, E.: Temporal Arteritis: Report of an Unusual Case , Harefuah 54:6, 1958. 10. Venturi, G.: Temporal Arteritis (L'Arterite temporale) , Arch. Ottal. 59:453, 1955. 11. Landblad, Y.: Temporal Arteritis Complicated by Iritis , Nord. Med. 56:1794, 1956. 12. Neu, H. J.: Günstiger Verlauf einer doppelseitigen Erblindung bei Arteriitis temporalis , Klin. Mbl. Augenheilk. 134:250, 1959. 13. Davenport, R. C.; Meadows, S. P., and Duguid, J. B.: Discussion: Inflammatory Vascular Diseases Affecting Eyes , Trans. Ophthal. Soc. U.K. 74:5, 1954. 14. Whitfield, A. G. W.; Cook, W. T.; Evans, P. J., and Rudd, C.: Temporal Arteritis and Its Treatment with Cortisone and ACTH , Lancet 1: 408, 1953.Crossref 15. Bennett, G.: Cortisone Therapy of Visual Loss in Temporal Arteritis , Brit. J. Ophthal. 40:430, 1956.Crossref 16. Jager, B. V.: in Harrison, T. R.: Principles of Internal Medicine , New York, McGraw-Hill Book Co., 1958, p. 1708. 17. Cuperstein, R. I.: Affection of the Eyes in the Sensory Syndrome of Temporal Arteritis , Vestn. Oftal 3:11-17, 1958. 18. Meneely, J. K., Jr., and Bigelow, N. H.: Temporal Arteritis , Amer. J. Med. 14:46, 1953.Crossref 19. Savory, M.: in Sorsby, A.: Systemic Ophthalmology , St. Louis, The C. V. Mosby Company, 1958, p. 500. 20. Rizzini, V., and Frassineti, A.: A Fatal Case of Temporal Arteritis , Ophthalmologica (Basel) 130:178, 1955.Crossref 21. Spencer, W. H., and Hoyt, W. F.: A Fatal Case of Giant-Cell Arteritis, (Temporal or Cranial Arteritis) with Ocular Involvement , Arch. Ophthal. 64:862, 1960.Crossref 22. Birkhead, N. C.; Wagener, H. P., and Shick, R. M.: The Treatment of Temporal Arteritis with Adrenal Corticos Steroids , J.A.M.A. 163:821, 1957.Crossref 23. Wagener, H. P., and Hollenhorst, R. W.: Ocular Lesions of Temporal Arteritis , Amer. J. Ophthal. 45:617, 1958. 24. Palm, E.: The Ocular Crisis of the Temporal Arteritis Syndrome (Horton) , Acta Ophthal. 36:208, 1958.Crossref 25. Kreibig, W.: Optikomalazie, die Folge eines Gefässverschlusses im retrobulbären Abschnitt des Sehnerven . Klin. Mbl. Augenheilk. 122: 719, 1953. 26. Mosher, H. A.: The Prognosis in Temporal Arteritis , A.M.A. Arch. Ophthal. 62:641, 1959.Crossref 27. Kendall, D.: Some Complications of Temporal Arteritis , Brit. Med. J. 2:418, 1953.Crossref 28. Bruce, G. M.: Temporal Arteritis as a Cause of Blindness , Amer. J. Ophthal. 33:1568, 1950. 29. Parsons-Smith, G.: Ophthalmic Manifestations of Temporal Arteritis , Brit. J. Ophthal. 36: 615, 1952.Crossref 30. Parsons-Smith, G.: Sudden Blindness in Cranial Arteritis , Brit. J. Ophthal. 43:204, 1959.Crossref 31. Fisher, C. M.: Ocular Palsy in Temporal Arteritis, I , Minn. Med. 42:1258, 1959. 32. Fisher, C. M.: Ocular Palsy in Temporal Arteritis II , Minn. Med. 42:1430, 1959. 33. Fisher, C. M.: Ocular Palsy in Temporal Arteritis III , Minn. Med. 42:1617, 1959. 34. Anderson, B.: Comments on Bruce's Paper on Temporal Arteritis , Trans. Amer. Ophthal. Soc. 47:300, 1949.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1962

References