The afferent pupillary defect as an early manifestation of occult temporal arteritis.
A 76-year-old man had excellent visual acuity and an afferent pupillary defect (Marcus-Gunn pupil) on one side. After several weeks of investigation, a diagnosis of biopsy-proved temporal arteritis was made. I believe that this is the first case of "occult" temporal arteritis with essentially normal vision and with an afferent pupillary defect as the sole original manifestation of the disease.
D000368:Aged; D005260:Female; D013700:Giant Cell Arteritis / Q000175:diagnosis*; D006801:Humans; D007499:Iris Diseases / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011680:Pupil; D012025:Reflex, Pupillary; D014792:Visual Acuity; D014794:Visual Fields