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Lupus. 2011 Oct;20(11):1214-8. doi: 10.1177/0961203311403344. Epub 2011 Jun 13.

Optic neuropathy as a presenting feature of systemic lupus erythematosus: two case reports and literature review.

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1
Department of Internal Medicine, Hedi Chaker Hospital, Sfax, Tunisia. friguimakram@yahoo.fr

Abstract

Systemic lupus erythematosus (SLE) may affect the eyes and/or visual system in up to a third of patients; however, optic nerve involvement has been rarely reported. SLE presenting as optic neuropathy is exceptional. We report two new cases of optic neuropathy as a presenting feature of SLE. The first patient presented with an ischemic optic neuropathy and antiphospholipid antibodies, and the second presented with optic neuritis. A literature review for previous cases of SLE presenting as optic neuropathy was performed. Early diagnosis of SLE-associated optic neuropathy is warranted and leads to a better prognosis.

PMID:
21669911
DOI:
10.1177/0961203311403344
[Indexed for MEDLINE]
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