A case of biopsy-negative temporal arteritis--diagnostic challenges.
A patient with systemic symptoms but no visual loss was investigated for suspected giant cell arteritis. Initial temporal artery biopsy was reported as negative; however, she returned with visual loss 2 months later, and the diagnosis of giant cell arteritis was confirmed with a subsequent biopsy. In hindsight, signs suggestive of the disease were present in the original biopsy, although the usual diagnostic features were absent.
van der Straaten
David
D
The Royal Victorian Eye & Ear Hospital, 32 Gisborne Street, East Melbourne, Victoria, 3002, Australia.
Rajakulenthiran
Mariolyn
M
McKelvie
Penny A
PA
O'Day
Justin
J
D000368:Aged; D001706:Biopsy; D001766:Blindness / Q000175:diagnosis; D005260:Female; D013700:Giant Cell Arteritis / Q000175:diagnosis*; D006801:Humans; D018917:Optic Neuropathy, Ischemic / Q000175:diagnosis; D013699:Temporal Arteries / Q000473:pathology*