Revista Brasileira de Oftalmologia
Print version ISSN 0034-7280
AMIGO, Maria Helena Lopes; BARBARA, Emmanuel Casotti Duque de and GHIRELLI, Wagner. Autoimmune optic neuropathy as the first manifestation of systemic lupus erythematosus. Rev. bras.oftalmol. [online]. 2012, vol.71, n.2, pp. 106-110. ISSN 0034-7280. http://dx.doi.org/10.1590/S0034-72802012000200006.
We described a 35 years old female patient with bilateral visual loss and pain on eye movement, mild papillary edema in acute phase, arcuate scotoma and complementary test positive for antinuclear antibodies that did not respond to corticosteroid therapy. The lack of clinical criteria for systemic lupus erythematosus (SLE) didn't prevent the institution of the specific treatment with corticosteroids and azathioprine. After seven months the diagnosis was made after a skin manifestation of the disease. This case shows the value of the ocular complaints in systemic diseases. And how the ophthalmologic exam can help the clinician elaborating a diagnosis. It is also very important for ophthalmologists and rheumatologists due to the fact that it calls the attention to another diagnostic hypothesis in patients with nonspecific optic neuritis, even with inconclusive laboratory tests. Maybe some ocular findings deserve to be included to the diagnostic criteria already established for SLE.
Keywords : Optic neuritis [etiology]; Optic nerve diseases [etiology]; Lupus erythematosus, systemic; Collagen diseases; Case reports.