Is reported a case of Wegener's granulomatosis originally presenting with a clinical picture of temporal arteritis. The presentation included an arteritic anterior ischaemic optic neuropathy occurring with no demonstrable orbital inflammation. The treatment of these two systemic vasculitides is quite different, however, and this case emphasizes the importance of questioning the original diagnosis if the clinical course of the disease does not progress as anticipated.
WegenerF.Uber eine eigenartiger rhinogene Granulomatose mit besonderer Beteiligung des Arterien Systems und der Nieren. Beitr Pathol Anat1939; 102: 36.
HaynesB.F., FishmanM.L., FauciA.S., WolffS.M.The oc-cular manifestations of Wegener's granulomatosis. Fifteen years experience and review of the literature. Am J Med1977; 63: 131–41.
4.
LeavittR.Y., FauciA.S., BlochD.A., MichelB.A.The American College of Rheumatology 1990 criteria for the classification of Wegener's granulomatosis. Arthritis Rheum1990; 33: 1101–7.
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StraatsmaB.R.Ocular manifestations of Wegener's granulomatosis. Am J Ophthalmol1957; 44: 789–99.
6.
HayrehS.S.Anterior ischaemic optic neuropathy. Differentiation of arteritic from nonarteritic type and its management. Eye1990; 4: 25–41.
