A case to illustrate the role of ophthalmologist in systemic lupus erythematosus
Systemic lupus erythematosus (SLE) affects the eye as part of the disease or due to the drugs used in therapy. Ocular involvement is seen in one third of the patients with SLE. SLE is rare in India and found less frequently in males and children. SLE retinopathy is usually bilateral. We report an un...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Indian Journal of Dermatology |
| Subjects: | |
| Online Access: | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2010;volume=55;issue=3;spage=268;epage=270;aulast=Rao |
| _version_ | 1818275798235217920 |
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| author | Rao Vasudev Pandian Datta Kasturi Nirupama Muthukrishanan V Thappa D |
| author_facet | Rao Vasudev Pandian Datta Kasturi Nirupama Muthukrishanan V Thappa D |
| author_sort | Rao Vasudev |
| collection | DOAJ |
| description | Systemic lupus erythematosus (SLE) affects the eye as part of the disease or due to the drugs used in therapy. Ocular involvement is seen in one third of the patients with SLE. SLE is rare in India and found less frequently in males and children. SLE retinopathy is usually bilateral. We report an unusual case of unilateral macular infarction in a boy caused by systemic lupus erythematosus. A fourteen year old boy was presented with skin rashes and loss of vision in left eye. Posterior segment examination showed hyperemic edematous disc, arteriolar attenuation, venous dilatation, multiple cotton wool spots around the disc and macula in the left eye. There was no improvement in vision with pulse steroids and cyclophosphamide. The clinical implication of SLE retinopathy is that the disease is severe and warrants systemic immunosuppressive therapy. SLE-induced macular infarction is rare and has poor visual prognosis. As serious ocular complications of SLE can be silent, routine ophthalmological evaluation is warranted in all patients. |
| first_indexed | 2024-12-12T22:35:28Z |
| format | Article |
| id | doaj.art-9439cabba9e94750befa66ba2e9e39bd |
| institution | Directory Open Access Journal |
| issn | 0019-5154 1998-3611 |
| language | English |
| last_indexed | 2024-12-12T22:35:28Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dermatology |
| spelling | doaj.art-9439cabba9e94750befa66ba2e9e39bd2022-12-22T00:09:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112010-01-01553268270A case to illustrate the role of ophthalmologist in systemic lupus erythematosusRao VasudevPandian DattaKasturi NirupamaMuthukrishanan VThappa DSystemic lupus erythematosus (SLE) affects the eye as part of the disease or due to the drugs used in therapy. Ocular involvement is seen in one third of the patients with SLE. SLE is rare in India and found less frequently in males and children. SLE retinopathy is usually bilateral. We report an unusual case of unilateral macular infarction in a boy caused by systemic lupus erythematosus. A fourteen year old boy was presented with skin rashes and loss of vision in left eye. Posterior segment examination showed hyperemic edematous disc, arteriolar attenuation, venous dilatation, multiple cotton wool spots around the disc and macula in the left eye. There was no improvement in vision with pulse steroids and cyclophosphamide. The clinical implication of SLE retinopathy is that the disease is severe and warrants systemic immunosuppressive therapy. SLE-induced macular infarction is rare and has poor visual prognosis. As serious ocular complications of SLE can be silent, routine ophthalmological evaluation is warranted in all patients.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2010;volume=55;issue=3;spage=268;epage=270;aulast=Rao<i>Systemic lupus erythematosusmacular infarctionIndialupus retinopathyunilateral</i> |
| spellingShingle | Rao Vasudev Pandian Datta Kasturi Nirupama Muthukrishanan V Thappa D A case to illustrate the role of ophthalmologist in systemic lupus erythematosus Indian Journal of Dermatology <i>Systemic lupus erythematosus macular infarction India lupus retinopathy unilateral</i> |
| title | A case to illustrate the role of ophthalmologist in systemic lupus erythematosus |
| title_full | A case to illustrate the role of ophthalmologist in systemic lupus erythematosus |
| title_fullStr | A case to illustrate the role of ophthalmologist in systemic lupus erythematosus |
| title_full_unstemmed | A case to illustrate the role of ophthalmologist in systemic lupus erythematosus |
| title_short | A case to illustrate the role of ophthalmologist in systemic lupus erythematosus |
| title_sort | case to illustrate the role of ophthalmologist in systemic lupus erythematosus |
| topic | <i>Systemic lupus erythematosus macular infarction India lupus retinopathy unilateral</i> |
| url | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2010;volume=55;issue=3;spage=268;epage=270;aulast=Rao |
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