Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: "Giant cell arteritis complicated by acute pancreatitis: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Giant cell arteritis complicated by acute pancreatitis: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Giant cell arteritis complicated by acute pancreatitis a case report Deepthi Renuka Seneviratne1 Susan P Mollan 1 Samer Elsherbiny1 and Theresa Worstmann2 Address Birmingham and Midland Eye Centre City Hospital Dudley Road Birmingham B18 7QU UK and 2Queen s Hospital Belvedere Road Burton-upon-Trent Staffordshire DE13 0RB UK Email Deepthi Renuka Seneviratne - deepthisen@hotmail.com Susan P Mollan - soozmollan@doctors.org.uk Samer Elsherbiny-samer.elsherbiny@swbh.nhs.uk Theresa Worstmann - theresa.worstmann@burtonhospitals.nhs.uk Corresponding author Published 17 November 2008 Received 30 March 2008 . j. z i-7r- inz-7- - zz Accepted 17 November 2008 Journal of Medical Case Reports 2008 2 346 doi l0.ll86 l 752-1947-2-346 This article is available from http www.jmedicalcasereports.com content 2 1 346 2008 Seneviratne et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction We describe a case of giant cell arteritis in a woman who was treated with high-dose systemic corticosteroids and subsequently developed acute pancreatitis. Case presentation A 78-year-old Caucasian woman presented with four weeks of progressive headache and scalp tenderness. One day before ophthalmology assessment she had experienced visual obscurations in both eyes. Her visual acuity was 6 9 in both eyes with a right afferent pupillary defect and right swollen optic nerve. She was diagnosed as having temporal arteritis and was urgently treated with high-dose pulsed intravenous and oral corticosteroids. Her previous diet-controlled diabetes needed insulin and oral hyperglycaemic therapy to control erratic blood sugars. On day 8 of treatment with steroids she became .