Produção Nacional
Revisado por pares
Nodular anterior scleritis associated with Berger's disease
2021; Conselho Brasileiro de Oftalmologia; Linguagem: Inglês
10.5935/0004-2749.20210011
ISSN1678-2925
AutoresEmanuelly Giovaneli Constancio, Débora Letícia Souza Alves, Luiz Guilherme Marchesi Mello, Lídia Balarini da Silva, Fábio Petersen Saraiva, Júlia Polido, Thiago Cabral,
Tópico(s)Systemic Lupus Erythematosus Research
ResumoA 45-year-old female patient presented with a complaint of right eye redness and pain for 7 days. She was under investigation for urinary abnormalities and reported a previous history of recurrent oral ulcers and ocular hyperemia in both eyes. Best-corrected visual acuity was 20/30 and 20/20 in the right and left eyes, respectively. Slit-lamp biomicroscopy of the ocular surface of the right eye revealed nasal scleral hyperemia that persisted after instillation of topical phenylephrine 10%, reinforcing the diagnosis of anterior scleritis. Renal biopsy showed immunoglobulin A immune complexes and confirmed the suspected diagnosis of Berger's disease. Maintenance immunosuppressive therapy with azathioprine following a 6-month induction of remission with cyclophosphamide was necessary after pulse therapy with methylprednisolone. Scleritis is usually related to systemic autoimmune diseases, such as rheumatoid arthritis, and polyangiitis. Herein, we describe a rare case of unilateral anterior scleritis associated with Berger's disease.
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