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Orbital Inflammation, Myositis, and Systemic Lupus Erythematosus

Orbital Inflammation, Myositis, and Systemic Lupus Erythematosus Abstract • A 39-year-old man with systemic lupus erythematosus (SLE) experienced three episodes of acute orbital inflammation, a primary feature of each being a markedly enlarged extraocular muscle (myositis). The muscles of the upper trunk were concomitantly inflamed, and fullthickness skin and muscle biopsy specimens demonstrated an inflammatory myositis. The case demonstrates that orbital proptosis and extraocular myositis can be features of SLE. References 1. Burkhalter E: Unique presentation of systemic lupus erythematosus . Arthritis Rheum 1973;16:428.Crossref 2. Brenner EH, Shock JP: Proptosis secondary to systemic lupus erythematosus . Arch Ophthalmol 1974;91:81-82.Crossref 3. Wilkinson LS, Panusk RS: Exophthalmos associated with systemic lupus erythematosus . Arthritis Rheum 1975;18:188-189.Crossref 4. Currie S: Inflammation Myopathies , ed 4, Walton SJ (ed). New York, Churchill Livingstone, 1981, pp 525-568. 5. Jakobiec FA, Jones IS: Orbital inflammation , in Jakobiec FA, Jones IS (eds): Diseases of the Orbit . Hagerstown, Md, Harper & Row Publishers Inc, 1979, pp 187-261. 6. Duke-Elder SS, MacFaul PA: Inflammation of the orbit, in Duke-Elder SI (ed): System of Ophthalmology. St Louis, CV Mosby Co, 1974, vol 13, pt 2: The Ocular Adnexa, pp 859-934. 7. Gardner A: Pathology of pseudotumor of the orbit: A review . J Clin Pathol 1973;126:639-664.Crossref 8. Estes D, Christian CL: The natural history of systemic lupus erythematosus by prospective analysis . Medicine 1971;50:85-95.Crossref 9. Winkelmann RK: Panniculitis and systemic lupus erythematosus . JAMA 1970;211:472-475.Crossref 10. Tuffanelli DL: Lupus erythematosus panniculitis (profundus) . Arch Dermatol 1971; 103:213-241.Crossref 11. Diaz-Jouanen E, DeHoratius RJ, Alarcon-Segovia D, et al: Systemic lupus erythematosus presenting as panniculitis (lupus profundus) . Ann Intern Med 1975;82:376-379.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Orbital Inflammation, Myositis, and Systemic Lupus Erythematosus

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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1983.01040010736006
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 39-year-old man with systemic lupus erythematosus (SLE) experienced three episodes of acute orbital inflammation, a primary feature of each being a markedly enlarged extraocular muscle (myositis). The muscles of the upper trunk were concomitantly inflamed, and fullthickness skin and muscle biopsy specimens demonstrated an inflammatory myositis. The case demonstrates that orbital proptosis and extraocular myositis can be features of SLE. References 1. Burkhalter E: Unique presentation of systemic lupus erythematosus . Arthritis Rheum 1973;16:428.Crossref 2. Brenner EH, Shock JP: Proptosis secondary to systemic lupus erythematosus . Arch Ophthalmol 1974;91:81-82.Crossref 3. Wilkinson LS, Panusk RS: Exophthalmos associated with systemic lupus erythematosus . Arthritis Rheum 1975;18:188-189.Crossref 4. Currie S: Inflammation Myopathies , ed 4, Walton SJ (ed). New York, Churchill Livingstone, 1981, pp 525-568. 5. Jakobiec FA, Jones IS: Orbital inflammation , in Jakobiec FA, Jones IS (eds): Diseases of the Orbit . Hagerstown, Md, Harper & Row Publishers Inc, 1979, pp 187-261. 6. Duke-Elder SS, MacFaul PA: Inflammation of the orbit, in Duke-Elder SI (ed): System of Ophthalmology. St Louis, CV Mosby Co, 1974, vol 13, pt 2: The Ocular Adnexa, pp 859-934. 7. Gardner A: Pathology of pseudotumor of the orbit: A review . J Clin Pathol 1973;126:639-664.Crossref 8. Estes D, Christian CL: The natural history of systemic lupus erythematosus by prospective analysis . Medicine 1971;50:85-95.Crossref 9. Winkelmann RK: Panniculitis and systemic lupus erythematosus . JAMA 1970;211:472-475.Crossref 10. Tuffanelli DL: Lupus erythematosus panniculitis (profundus) . Arch Dermatol 1971; 103:213-241.Crossref 11. Diaz-Jouanen E, DeHoratius RJ, Alarcon-Segovia D, et al: Systemic lupus erythematosus presenting as panniculitis (lupus profundus) . Ann Intern Med 1975;82:376-379.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: May 1, 1983

References