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Systemic Lupus Erythematosus Presenting as Orbital Myositis
Peter Owen Jenkins1, Charles Soper2, Andrew D MacKinnon3
1Neurology Department, St. George's Hospital NHS Trust London UK.
Neuro-Ophthalmology (Aeolus Press)
|December 9, 2016
Summary
Systemic lupus erythematosus can cause orbital myositis, leading to eye pain and diplopia. This rare condition should be considered in patients with new-onset eye symptoms after common causes are ruled out.
Area of Science:
- Ophthalmology
- Rheumatology
- Systemic Autoimmune Diseases
Background:
- Orbital myositis, an inflammation of eye muscles, presents with symptoms like diplopia and eye pain.
- Systemic lupus erythematosus (SLE) is a chronic autoimmune disease affecting multiple organ systems.
- The association between SLE and orbital myositis is infrequently reported.
Observation:
- A case study details a patient experiencing diplopia and ocular discomfort.
- The patient received a new diagnosis of de novo systemic lupus erythematosus.
- Orbital myositis was identified as the cause of the patient's ophthalmological symptoms.
Findings:
- Orbital myositis can be an initial or presenting manifestation of systemic lupus erythematosus.
- This case highlights the importance of considering autoimmune conditions in the differential diagnosis of orbital myositis.
- Prompt diagnosis and management of SLE are crucial to prevent further complications.
Implications:
- Ophthalmologists and rheumatologists should be aware of this rare association.
- Systemic lupus erythematosus should be included in the differential diagnosis for orbital myositis, especially in the absence of other common etiologies.
- Early recognition of SLE in patients with orbital myositis may lead to timely treatment and improved patient outcomes.
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