Acquired enophthalmos with systemic lupus erythematosus
| Autor: | M. R. Seo, Han Joo Baek, K R Park, M J Chi, H.-J. Choi, Hee Jung Ryu |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Pleural effusion Enophthalmos 03 medical and health sciences 0302 clinical medicine Rheumatology immune system diseases medicine Sore throat Humans Lupus Erythematosus Systemic skin and connective tissue diseases 030203 arthritis & rheumatology Lupus anticoagulant Leukopenia business.industry Drug Substitution Hydroxychloroquine medicine.disease Surgery Treatment Outcome 030221 ophthalmology & optometry Prednisolone Drug Therapy Combination medicine.symptom Malar rash business Tomography X-Ray Computed Immunosuppressive Agents medicine.drug |
| Zdroj: | Lupus. 25(1) |
| ISSN: | 1477-0962 |
| Popis: | Ocular involvement sometimes occurs with systemic lupus erythematosus (SLE) but enophthalmos with SLE is rare. We report a case of enophthalmos with SLE. A 25-year-old male was admitted for two weeks of fever, sore throat, arthralgia, chest pain and right arm weakness with pain. We diagnosed him with SLE with malar rash, arthritis, pleural effusion, proteinuria, leukopenia, positive antinuclear antibody, anti-dsDNA, and lupus anticoagulant. The patient was prescribed high-dose prednisolone and hydroxychloroquine 400 mg. One week after discharge, he complained about a sensation of a sunken right eye. CT showed right enophthalmos, a post-inflammatory change and chronic inflammation. Proteinuria increased to 3.8 g/day after the patient stopped taking prednisolone. Cyclophosphamide therapy was administered for three months without improvement. We decided to restart prednisolone and change cyclophosphamide to mycophenolate mofetil. Proteinuria decreased but enophthalmos remains as of this reporting. |
| Databáze: | OpenAIRE |
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