Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802012000200006 |
Resumo: | 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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Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosusOptic neuritis/etiologyOptic nerve diseases/etiologyLupus erythematosus, systemicCollagen diseasesCase reportsWe 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.Sociedade Brasileira de Oftalmologia2012-04-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802012000200006Revista Brasileira de Oftalmologia v.71 n.2 2012reponame:Revista Brasileira de Oftalmologia (Online)instname:Sociedade Brasileira de Oftalmologia (SBO)instacron:SBO10.1590/S0034-72802012000200006info:eu-repo/semantics/openAccessAmigo,Maria Helena LopesBárbara,Emmanuel Casotti Duque deGhirelli,Wagnereng2012-06-12T00:00:00Zoai:scielo:S0034-72802012000200006Revistahttps://rbo.emnuvens.com.br/rbo/indexhttps://old.scielo.br/oai/scielo-oai.phpsob@sboportal.org.br||rbo@sboportal.org.br1982-85510034-7280opendoar:2012-06-12T00:00Revista Brasileira de Oftalmologia (Online) - Sociedade Brasileira de Oftalmologia (SBO)false |
dc.title.none.fl_str_mv |
Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus |
title |
Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus |
spellingShingle |
Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus Amigo,Maria Helena Lopes Optic neuritis/etiology Optic nerve diseases/etiology Lupus erythematosus, systemic Collagen diseases Case reports |
title_short |
Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus |
title_full |
Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus |
title_fullStr |
Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus |
title_full_unstemmed |
Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus |
title_sort |
Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus |
author |
Amigo,Maria Helena Lopes |
author_facet |
Amigo,Maria Helena Lopes Bárbara,Emmanuel Casotti Duque de Ghirelli,Wagner |
author_role |
author |
author2 |
Bárbara,Emmanuel Casotti Duque de Ghirelli,Wagner |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Amigo,Maria Helena Lopes Bárbara,Emmanuel Casotti Duque de Ghirelli,Wagner |
dc.subject.por.fl_str_mv |
Optic neuritis/etiology Optic nerve diseases/etiology Lupus erythematosus, systemic Collagen diseases Case reports |
topic |
Optic neuritis/etiology Optic nerve diseases/etiology Lupus erythematosus, systemic Collagen diseases Case reports |
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. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802012000200006 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802012000200006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0034-72802012000200006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Oftalmologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Oftalmologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Oftalmologia v.71 n.2 2012 reponame:Revista Brasileira de Oftalmologia (Online) instname:Sociedade Brasileira de Oftalmologia (SBO) instacron:SBO |
instname_str |
Sociedade Brasileira de Oftalmologia (SBO) |
instacron_str |
SBO |
institution |
SBO |
reponame_str |
Revista Brasileira de Oftalmologia (Online) |
collection |
Revista Brasileira de Oftalmologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Oftalmologia (Online) - Sociedade Brasileira de Oftalmologia (SBO) |
repository.mail.fl_str_mv |
sob@sboportal.org.br||rbo@sboportal.org.br |
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1752122336053559296 |