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A case of systemic lupus erythematosus manifesting as anterior uveitis simulating sarcoidosis Kazuhiro Horio 1 , Yasuhiro Nishida 1 , Hiroyuki Iwasaki 2 , Kenichi Yoshida 1 , Shinichi Yamade 1 , Sanae Oda 1 , Kazutaka Kani 1 1Dept of Ophthalmol,Shiga Univ of Med Sci 2Dept of Ophthalmol,Toyosato Hosp pp.841-845
Published Date 2003/5/15
DOI https://doi.org/10.11477/mf.1410101253
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Abstract. A 57-year-old male presented with blurring of vision in his right eye since one week before. His corrected visual acuity was 0.01 right and 0.8 left. The intraocular pressure was 40 mmHg right and 12 mmHg left. The right eye showed anterior uveitis with numerous mutton-fat deposits. The left eye showed similar and milder findings. The right fundus was invisible. No other lesions were detected in both eyes. He was negative for tuberculin test. Radiography showed bilateral swelling of hilar lymphnodes. He was tentatively diagnosed with sarcoidosis. Systemic and topical corticosteroid induced improvements in ocular findings 6 weeks later. He developed diarrhea and abdominal pain another 6 months later. He was diagnosed with systemic lupus erythematosus(SLE)associated with Evans syndrome. The anterior uveitis had progressed associated with SLE retinopathy consisting of soft exudates and hemorrhages. It appeared that the anterior uveitis was due to SLE in addition to sarcoidosis.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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