A Case of Systemic Lupus Erythromatosus Presenting with Periorbital Edema.
10.4078/jkra.2010.17.1.62
- Author:
Jong Hyung KIM
1
;
Ji Seon OH
;
Dong Min KIM
;
Seong Jae HUH
;
Kyung Hun LIM
;
Gi Won DO
;
Soon Hyung HONG
;
Seung Won CHOI
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. doogie55@naver.com
- Publication Type:Case Report
- Keywords:
Periorbital edema;
Systemic lupus erythematosus
- MeSH:
Antibodies;
Arthritis;
Biopsy;
Cyclophosphamide;
Edema;
Exanthema;
Female;
Hand;
Humans;
Hydroxychloroquine;
Kidney;
Leukopenia;
Lupus Erythematosus, Systemic;
Lupus Nephritis;
Prednisolone;
Prescriptions;
Proteinuria;
Steroids;
Wrist;
Young Adult
- From:The Journal of the Korean Rheumatism Association
2010;17(1):62-65
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Periorbital edema is a rare manifestation of systemic lupus erythematosus (SLE). We describe here a patient with bilateral periorbital edema as a presenting symptom of SLE. A 23-year-old woman was admitted for a sudden onset of severe periorbital edema that developed 7 days previously. On the basis of the malar rash, arthritis of the right hand and left wrist, leukopenia, proteinuria and the positive anti-nuclear and anti-dsDNA antibodies, she was diagnosed with SLE. Kidney biopsy revealed lupus nephritis (WHO class IV). After treatment with high dose of steroids, intravenous cyclophosphamide and daily hydroxychloroquine, her symptoms resolved, including the periorbital edema. She was discharged with prescriptions for prednisolone and hydroxychloroquine and she remains well.
