Diplopia, ptosis, and hepatitis as presenting signs and symptoms of giant cell arteritis

Serological antibody titres for herpes virus, cytomegalovirus, Epstein-Barr virus,Borrelia burgdorferi, and hepatitis virus types A, B, and C were normal. Liver involvement has frequently been reported in patients with GCA and polymyalgica rheumatica and is usually reflected by raised serological li...

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Published inBritish journal of ophthalmology Vol. 84; no. 11; p. 1318
Main Authors KILLER, H E, HOLTZ, D J, KAISER, H J, LAENG, R H
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.11.2000
Subjects
Aged
Biopsy
Blepharoptosis - etiology
Diplopia - etiology
Enzymes
Female
Giant Cell Arteritis - complications
Giant Cell Arteritis - drug therapy
Hepatitis
Hepatitis - etiology
Humans
Letters to the Editor
Medical imaging
NMR
Nuclear magnetic resonance
Patients
Treatment Outcome
Ultrasonography, Doppler, Color
Veins & arteries
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Summary:Serological antibody titres for herpes virus, cytomegalovirus, Epstein-Barr virus,Borrelia burgdorferi, and hepatitis virus types A, B, and C were normal. Liver involvement has frequently been reported in patients with GCA and polymyalgica rheumatica and is usually reflected by raised serological liver enzymes. 4-6 In our case, a minute solitary infiltrate was found in the fine needle liver biopsy specimen; although non-specific, it is consistent with systemic manifestation of GCA, and the return to normal serological parameters of liver function upon steroid medication provides a further argument of this view.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.84.11.1318b