• Clin. Experiment. Ophthalmol. · Jan 2007

    Case Reports

    Giant cell arteritis with spontaneous remission.

    • Valerie Purvin and Aki Kawasaki.
    • Midwest Eye Institute, and Indiana University Medical Center, Department of Ophthalmology, Indianapolis, Indiana 46280, USA. vpurvin@iupui.edu
    • Clin. Experiment. Ophthalmol. 2007 Jan 1; 35 (1): 59-61.

    BackgroundClinical manifestations of giant cell arteritis (GCA) are variable. Whether signs and symptoms present in an explosive fashion or insidiously, once manifest the course is usually progressive unless treatment is initiated.MethodsA retrospective review of patients with GCA seen in an outpatient neuro-ophthalmology clinic.ResultsWe report four patients with biopsy-proven GCA who experienced spontaneous remission. Clinical manifestations consisted of headache and diplopia in two patients, constitutional symptoms in one patient and facial pain in another.ConclusionsClinicians should be aware of this aspect of the disease in order to avoid a delay in diagnosis and treatment.

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