{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:49Z","timestamp":1753862929554,"version":"3.41.2"},"reference-count":13,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,8,6]],"date-time":"2023-08-06T00:00:00Z","timestamp":1691280000000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Prompt diagnosis and treatment of GCA are crucial to preserve vision. Because of this, new\u2010onset ptosis or diplopia in elderly patients should warrant consideration of GCA, even in the absence of \u201cclassic\u201d features, systemic symptoms or elevated inflammatory markers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Giant cell arteritis (GCA) is a vision\u2010threatening, ophthalmic emergency that classically presents with new\u2010onset headaches, scalp tenderness, systemic symptoms, visual disturbances, and elevated inflammatory markers. We describe an atypical presentation of GCA in an 87\u2010year\u2010old patient with fatigable ptosis and diplopia, with subsequent anterior ischemic optic neuropathy and choroidal infarction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7775","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T05:28:49Z","timestamp":1691386129000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An atypical presentation of giant cell arteritis: Fatigable signs to anterior ischemic optic neuropathy and choroidal infarction"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6262-7787","authenticated-orcid":false,"given":"Meagan","family":"Shinbashi","sequence":"first","affiliation":[{"name":"Virginia Commonwealth University School of Medicine  Richmond Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Summer","family":"Hakim","sequence":"additional","affiliation":[{"name":"Gavin Herbert Eye Institute University of California  Irvine California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elzbieta","family":"Mechel","sequence":"additional","affiliation":[{"name":"Gavin Herbert Eye Institute University of California  Irvine California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitul C.","family":"Mehta","sequence":"additional","affiliation":[{"name":"Gavin Herbert Eye Institute University of California  Irvine California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert W.","family":"Crow","sequence":"additional","affiliation":[{"name":"Gavin Herbert Eye Institute University of California  Irvine California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2019.01.008"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kex428"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S243203"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2022-002866"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.151135"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0000000000000656"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0000000000000847"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.6521-20"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-015-2074-8"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.124.6.922"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3928\/23258160-20180628-12"},{"volume-title":"StatPearls","year":"2023","author":"Ruia S","key":"e_1_2_11_13_1"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(58)92165-2"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7775","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T05:41:04Z","timestamp":1692855664000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":13,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1002\/ccr3.7775"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7775","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2023,8]]},"assertion":[{"value":"2023-04-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7775"}}