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Arteritic Anterior Ischaemic Optic Neuropathy and Chronic Cough as Presenting Features of Churg-Strauss Syndrome
Journal article   Peer reviewed

Arteritic Anterior Ischaemic Optic Neuropathy and Chronic Cough as Presenting Features of Churg-Strauss Syndrome

Y Chen, R Kardon and R Longmuir
Neuro-Ophthalmology, Vol.35(5-6), pp.269-271
12/01/2011
DOI: 10.3109/01658107.2011.608462

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Abstract

A 57-year-old man presented with severe, painless, stepwise vision loss in one eye over 24 hours. Fundus examination showed pallid optic disc oedema with cilioretinal artery occlusion. A retinal fluorescein angiogram showed patchy choroidal hypoperfusion of the affected eye, consistent with arteritic anterior ischaemic optic neuropathy (AION). Temporal artery biopsy revealed non-giant cell periarteritis. A systemic evaluation discovered a symptom complex of asthma, eosinophilia, and pulmonary infiltrates, suggesting Churg-Strauss syndrome. The patient was successfully treated with oral corticosteroid and metrotrexate, with stabilization of vision and improvement of systemic symptoms.
anterior ischaemic optic neuropathy eosinophilic pneumonitis hypereosinophilia granulomatous periarteritis retinal fluorescein angiogram

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