Title |
Nodular anterior scleritis associated with Berger's disease.
|
---|---|
Published in |
Arquivos Brasileiros de Oftalmologia, January 2021
|
DOI | 10.5935/0004-2749.20210011 |
Pubmed ID | |
Authors |
Emanuelly Giovaneli Constancio, Débora Letícia Souza Alves, Luiz Guilherme Marchesi Mello, Lídia Balarini da Silva, Fábio Petersen Saraiva, Júlia Polido, Thiago Cabral |
Abstract |
A 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. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 8 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Unspecified | 4 | 50% |
Student > Ph. D. Student | 1 | 13% |
Unknown | 3 | 38% |
Readers by discipline | Count | As % |
---|---|---|
Unspecified | 4 | 50% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 13% |
Unknown | 3 | 38% |