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Bilateral episcleritis as a manifestation of cutaneous leukocytoclastic vasculitis
K Bollinger1, C Medina, V L Perez
1Cleveland Clinic Foundation, Cole Eye Institute, Cleveland, Ohio, USA.
Purpose:
The authors describe how bilateral episcleritis can be a sign of active systemic disease and can respond to treatment in a patient with cutaneous leukocytoclastic vasculitis.
Design:
Case report.
Methods:
Comprehensive ophthalmic and physical examination and color photography were used to monitor inflammation and its response to systemic immunosuppression.
Results:
Systemic cyclophosphamide caused regression of systemic symptoms, cutaneous lesions, and episcleritis. After an 8-month follow-up, the patient has not had a systemic or ocular recurrence.
Conclusion:
Episcleritis may be a manifestation of cutaneous leukocytoclastic vasculitis. Careful examination of ocular inflammation is important in monitoring systemic disease and treatment.
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