Headache and vision changes in an elderly man with rheumatoid arthritis.
Timothy S H KwokNick DanemanShirley L LakePublished in: International journal of rheumatic diseases (2019)
We present a case of an elderly, immunosuppressed patient with rheumatoid arthritis who was not appropriately vaccinated, and subsequently developed herpes zoster ophthalmicus, which initially presented similar to giant cell arteritis. Evidence-based vaccinations are integral in decreasing the incidence of preventable diseases and promoting optimal health at the individual and population level. Although the patient ultimately did not suffer any long-term adverse sequelae, this case highlights the importance of vaccination in the rheumatology setting, and to consider both inflammatory and infectious causes of headache and vision changes in the elderly.
Keyphrases
- rheumatoid arthritis
- middle aged
- giant cell
- community dwelling
- case report
- disease activity
- healthcare
- public health
- oxidative stress
- risk factors
- interstitial lung disease
- adverse drug
- systemic lupus erythematosus
- juvenile idiopathic arthritis
- climate change
- human health
- health promotion
- idiopathic pulmonary fibrosis