Top

Journal of Medical Case Reports

Published in:

Open Access 01-12-2014 | Case report

Acute monolateral proptosis and orbital myositis in a patient with discoid lupus erythematosus: a case report

Authors: Loredana Arrico, Alessandro Abbouda, Simona Bianchi, Romualdo Malagola

Published in: Journal of Medical Case Reports | Issue 1/2014

Abstract

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.

Available only for authorised users

Panjwani S: Early diagnosis and treatment of discoid lupus erythematosus. J Am Board Fam Med. 2009, 22 (2): 206-213. 10.3122/jabfm.2009.02.080075.CrossRefPubMed

Chong BF, Werth VP: Skin disease in cutaneus lupus erythematosus Chapter 24. Dubois’ Lupus Erythematosus and Related Syndromes. Edited by: Wallace DJ, Hahn BH. 2013, Philadelphia: Elsevier Saunders, 8

Uva L, Miguel D, Pinheiro C, Freitas JP, Gomes MM, Filipe P: Cutaneous manifestations of systemic lupus erythematosus. Autoimune Diseases. 2012, 2012: 1-15.CrossRef

Panse I, Cordoliani F, Rybojad M, Rivet J, Lebbé C, Morel P: Discoid lupus erythematosus involving the eyelids: 4 cases. Ann Dermatol Venereol. 2004, 131: 58-60. 10.1016/S0151-9638(04)93544-2.CrossRefPubMed

Mseddi M, Marrekchi S, Meziou TJ, Sellami D, Kammoun B, Feki J, Zahaf A, Turki H: Discoid lupus erythematosus with eyelid involvement. A series of nine patients. J Fr Ophtalmol. 2007, 30 (3): 247-249. 10.1016/S0181-5512(07)89585-4.CrossRefPubMed

Cyran S, Douglass MC, Silverstein JL: Chronic cutaneous lupus erythematosus presenting as periorbital edema and erythema. J Am Acad Dermatol. 1992, 26: 334-338. 10.1016/0190-9622(92)70049-L.CrossRefPubMed

Serarslan G, Atik E, Sarikaya G: Periorbital edema and erythema: an unusual localization of DLE in a patient with psoriasis. J Dermatol. 2011, 38 (5): 486-488. 10.1111/j.1346-8138.2010.01096.x.CrossRefPubMed

Kono S, Takashima H, Suzuki D, Terada T, Konishi T, Miyajima H: Orbital myositis associated with discoid lupus erythematosus. Lupus. 2014, 23 (2): 220-222. 10.1177/0961203313517156.CrossRefPubMed

Gupta T, Beaconsfield M, Rose GE, Verity DH: Discoid lupus erythematosus of the periorbita: clinical dilemmas, diagnostic delays. Eye (Lond). 2012, 26: 609-612. 10.1038/eye.2011.340.CrossRef

10.

Wahie S, McColl E, Reynolds NJ, Meggitt SJ: Measuring disease activity and damage in discoid lupus erythematosus. Br J Dermatol. 2010, 162 (5): 1030-1037. 10.1111/j.1365-2133.2010.09656.x.CrossRefPubMed

11.

Gabriela M: Espinoza orbital inflammatory pseudotumors: etiology, differential diagnosis, and management. Curr Rheumatol Rep. 2010, 12 (6): 443-447. 10.1007/s11926-010-0128-8.CrossRef

Title: Acute monolateral proptosis and orbital myositis in a patient with discoid lupus erythematosus: a case report
Authors: Loredana Arrico
Alessandro Abbouda
Simona Bianchi
Romualdo Malagola
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2014
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-8-375

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Acute monolateral proptosis and orbital myositis in a patient with discoid lupus erythematosus: a case report

Abstract

Introduction

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2014

Intra-articular angioleiomyoma of the knee with an atypical finding on gadolinium-enhanced magnetic resonance imaging: a case report

Hysteroscopy- and laparoscopy-based diagnosis and treatment of girls with unbroken hymen with an obstructing uterine septum: two case reports

Solitary splenic metastasis of ovarian carcinoma: a case report

Microscopic identification of possible Clonorchis/Opisthorchis infection in two Ghanaian women with undiagnosed abdominal discomfort: two case reports

Superficial epithelioma with sebaceous differentiation involving the eyelid: a case report

Substantially increased sildenafil bioavailability after sublingual administration in children with congenital heart disease: two case reports