Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus
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| Title: | Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus |
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| Authors: | Amigo, Maria Helena Lopes, Bárbara, Emmanuel Casotti Duque de, Ghirelli, Wagner |
| Source: | Revista Brasileira de Oftalmologia v.71 n.2 2012 Revista Brasileira de Oftalmologia Sociedade Brasileira de Oftalmologia (SBO) instacron:SBO Revista Brasileira de Oftalmologia, Volume: 71, Issue: 2, Pages: 106-110, Published: APR 2012 |
| Publisher Information: | Sociedade Brasileira de Oftalmologia, 2012. |
| Publication Year: | 2012 |
| Subject Terms: | Lupus erythematosus, systemic, Relatos de casos, Case reports, Optic nerve diseases, Optic neuritis, Lupus eritematoso sistêmico, Neurite óptica, Collagen diseases, Optic nerve diseases/etiology, Doenças do colágeno, Optic neuritis/etiology, Doenças do nervo óptico |
| Description: | We described a 35 years old female patient with bilateral visual loss and pain on eye movement, mild papillary edema in acute phase, arcuate scotoma and complementary test positive for antinuclear antibodies that did not respond to corticosteroid therapy. The lack of clinical criteria for systemic lupus erythematosus (SLE) didn't prevent the institution of the specific treatment with corticosteroids and azathioprine. After seven months the diagnosis was made after a skin manifestation of the disease. This case shows the value of the ocular complaints in systemic diseases. And how the ophthalmologic exam can help the clinician elaborating a diagnosis. It is also very important for ophthalmologists and rheumatologists due to the fact that it calls the attention to another diagnostic hypothesis in patients with nonspecific optic neuritis, even with inconclusive laboratory tests. Maybe some ocular findings deserve to be included to the diagnostic criteria already established for SLE. |
| Document Type: | Report |
| File Description: | text/html |
| Language: | English |
| Access URL: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802012000200006 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802012000200006&lng=en&tlng=en |
| Rights: | CC BY NC |
| Accession Number: | edsair.dedup.wf.002..7dde7b57999e124c3977e552a59f57c1 |
| Database: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstract: | We described a 35 years old female patient with bilateral visual loss and pain on eye movement, mild papillary edema in acute phase, arcuate scotoma and complementary test positive for antinuclear antibodies that did not respond to corticosteroid therapy. The lack of clinical criteria for systemic lupus erythematosus (SLE) didn't prevent the institution of the specific treatment with corticosteroids and azathioprine. After seven months the diagnosis was made after a skin manifestation of the disease. This case shows the value of the ocular complaints in systemic diseases. And how the ophthalmologic exam can help the clinician elaborating a diagnosis. It is also very important for ophthalmologists and rheumatologists due to the fact that it calls the attention to another diagnostic hypothesis in patients with nonspecific optic neuritis, even with inconclusive laboratory tests. Maybe some ocular findings deserve to be included to the diagnostic criteria already established for SLE. |
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