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Proptosis in Systemic Lupus Erythematosus

Waleed A. Hassan, MD, Samy A. Abdelnaby, MSc, & Yasser M. Abdelhady, MSc  |  Issue: February 2015  |  February 1, 2015

Proptosis in SLE patients represents a diagnostic dilemma, as well as a therapeutic challenge. As our case demonstrates, SLE should be considered in the differential diagnosis of orbital pseudotumor.


Waleed A. Hassan, MD, is a lecturer of rheumatology at Benha University Hospital in Qalubiya, Egypt.

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Samy A. Abdelnaby, MSc, is a fellow of ophthalmology at Benha University Hospital in Qalubiya, Egypt.

Yasser M. Abdelhady, MSc, is assistant lecturer of radiology at Benha University Hospital in Qalubiya, Egypt.

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References

  1. McDonald E, Marino C, Cimponeriu D. Painful ophthalmoplegia in a patient with SLE. Hosp Pract. 1992; 27:41–42.
  2. Watkins AS, Kempen JH, Choi D, et al. Ocular disease in patients with ANCA-positive vasculitis. J Ocul Biol Dis Infor. 2009;3:12–19.
  3. Bullen CL, Liesegang TJ, McDonald TJ, et al. Ocular complications of ANCA-associated granulomatous vasculitis. Ophthalmology. 1983;90:279–290.
  4. Weber AL, Romo LV, Sabates NR. Pseudotumour of the orbit. Clinical, pathologic and radiologic evaluation. Radiol Clin North Am. 1999;37:151–168.
  5. Siebert S, Srinivasan U. Proptosis can be the presenting feature of systemic lupus erythematosus. Ann Rheum Dis. 2004;63:908–909.
  6. Grimson BS, Simons KB. Orbital inflammation, myositis, and systemic lupus erythematosus. Arch Ophthalmol. 1983;101:736–738.

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