Monocular vision loss and headache in a 60-year-old liver transplant patient

摘要

A 60-year-old man with a history of a liver transplantation 3 months earlier for hepatitis C-induced cirrhosis was transferred from an outside hospital. He reported 2 weeks of progressive visual decline in the right eye, associated with 2 months of right temporal headaches. The patient denied scalp tenderness, jaw claudication, and muscle weakness. Other significant medical history included celiac sprue, well-controlled hypertension, poorly controlled insulin-dependent diabetes mellitus, coronary artery disease, and hypercholesterolemia. The patient admitted confusion regarding his posttransplant medication regimen and re-cendy had transferred his outpatient care from another medical facility.