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Systemic Lupus Erythematosus Presenting as Optic Neuropathy: A Case Report
1Internal Medicine, Hayatabad Medical Complex, Peshawar, PAK.
Cureus
|August 13, 2019
Summary
Optic neuritis, an uncommon initial symptom of Systemic Lupus Erythematosus (SLE), can cause vision loss. This case highlights optic neuropathy as the first sign of SLE in a 47-year-old woman.
Area of Science:
- Ophthalmology
- Rheumatology
- Immunology
Background:
- Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease.
- Optic nerve involvement, including optic neuritis, is a rare but possible manifestation of SLE.
- Early diagnosis of SLE is crucial for effective management and preventing organ damage.
Observation:
- A 47-year-old woman presented with left eye vision blurring and periorbital pain, indicative of optic neuritis.
- Associated symptoms included photosensitive rash, oral ulcers, and arthralgia, suggesting a systemic inflammatory process.
Findings:
- Ophthalmic examination revealed a relative afferent pupillary defect and bilateral arcuate visual field defects.
- Laboratory results showed positive antinuclear antibodies (ANA), anti-beta2-glycoprotein I, and low C4 complement levels, confirming SLE diagnosis.
Implications:
- This case highlights optic neuropathy as a potential initial presentation of SLE.
- Early recognition and diagnosis of SLE are vital for timely intervention and management of its diverse clinical manifestations.
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