盘状红斑狼疮患者出现急性单侧眼球突出和眼眶肌炎：一例报告
Acute monolateral proptosis and orbital myositis in a patient with discoid lupus erythematosus: a case report.
作者信息
Arrico Loredana, Abbouda Alessandro, Bianchi Simona, Malagola Romualdo
机构信息
Department of Ophthalmology, University of Rome, Sapienza Viale del Policlinico 155, 00186 Roma, Italy.
出版信息
J Med Case Rep. 2014 Nov 20;8:375. doi: 10.1186/1752-1947-8-375.
INTRODUCTION
Discoid lupus erythematosus may lead to significant orbital inflammation syndrome. Ocular manifestations related to discoid lupus erythematosus are uncommon and few cases of eye inflammation are reported.
CASE PRESENTATION
A 37-year-old Caucasian woman with 5-year history of discoid lupus erythematosus presented with exophthalmos, periorbital pain and blurred vision in her right eye. Orbital computed tomography and laboratory tests were performed. Computed tomography imaging revealed an enlargement of the right medial rectus muscle. Thyroid eye disease and orbital cellulites were excluded. Corticosteroid treatment completely resolved the symptoms.
CONCLUSION
This is the first case of orbital myositis in a patient with discoid lupus erythematosus presenting with acute proptosis, diplopia and single extraocular muscle involvement.
引言
盘状红斑狼疮可能导致严重的眼眶炎症综合征。与盘状红斑狼疮相关的眼部表现并不常见，报道的眼部炎症病例较少。
病例报告
一名37岁患有5年盘状红斑狼疮病史的白人女性，出现右眼眼球突出、眶周疼痛和视力模糊。进行了眼眶计算机断层扫描和实验室检查。计算机断层扫描成像显示右侧内直肌增大。排除了甲状腺眼病和眼眶蜂窝织炎。皮质类固醇治疗使症状完全缓解。
结论
这是首例盘状红斑狼疮患者出现急性眼球突出、复视和单条眼外肌受累的眼眶肌炎病例。
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