Anterior scleritis as the first presentation of systemic lupus erythematosus: a case report
Maysoun Kudsi, Basel Alfaaouri, Alma Almadani, Ahmed Samy, Dawood M.T. KashmoulaIntroduction:
Systemic lupus erythematosus (SLE) is a chronic condition that can affect various organs, including the eyes. Ocular involvement occurs in 30% of patients with SLE, with scleritis being rare.
Case report:
A 33-year-old Syrian female presented with a painful left eye of 24 hours’ duration, similar to an episode the previous year. No history of medical issues or trauma was noted. Examination revealed sectoral episcleritis with conjunctival hyperemia. SLE was diagnosed on the basis of positive antinuclear antibody and anti-dsDNA tests. The patient was treated with topical prednisolone acetate, methylprednisolone, and mycophenolate mofetil, resulting in symptom improvement within a week.
Discussion:
Scleritis, an inflammatory condition, can be an early manifestation of SLE. Prompt treatment is necessary to prevent complications.
Conclusion:
Scleritis can be an early sign of SLE, so thorough examination and consideration of SLE are crucial, even in the absence of systemic symptoms.