Kasem Ali Sliman R, Hamad Saied M. Periorbital Edema as the Initial Manifestation of Pediatric Systemic Lupus Erythematosus.
Clin Med Insights Case Rep 2022;
15:11795476221135430. [PMID:
36339327 PMCID:
PMC9630895 DOI:
10.1177/11795476221135430]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Accepted: 10/11/2022] [Indexed: 11/15/2022] Open
Abstract
Periorbital edema as a sole initial manifestation, without any evidence of other significant cutaneous or systemic involvement, is rare in systemic lupus erythematosus (SLE). We report a 16 year-old female who presented with bilateral periorbital edema as the sole initial manifestation of SLE. As the disease progressed, a kidney biopsy was performed demonstrating lupus nephritis stage II. This report emphasizes the importance of the index of suspicion of SLE as one of the differential diagnosis of patients with periorbital edema in the relevant clinical context.
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