Scleromalacia perforans: A case report

被引：7

作者：

Ghauri M.I. ^{[1
]}

Riaz S.U. ^{[1
]}

Husain A. ^{[2
]}

Jafri A.R. ^{[3
]}

Bashir Z.T.A. ^{[1
]}

机构：

[1] Department of Medicine, Jinnah Medical and Dental College, 22-23 Shaheed-e-Millat Road, Karachi

[2] Department of Ophthalmology, Jinnah Medical and Dental College, 22-23 Shaheed-e-Millat Road, Karachi

[3] Department of Ophthalmology, Karachi Medical and Dental College, Block M North Nazimabad, Karachi

来源：

Journal of Medical Case Reports | / 12卷 / 1期

关键词：

Case report; Ocular complication; Peripheral thinning of cornea; Rheumatoid arthritis; Scleromalacia perforans;

D O I：

10.1186/s13256-018-1686-z

中图分类号：

学科分类号：

摘要：

Background: Scleromalacia perforans is a rare ocular manifestation of rheumatoid arthritis which can potentially lead to blindness and is a late consequence in the course of the disease. It is an unusual finding for it to be present in a patient with joint pain without any rheumatologic progression of disease. Case presentation: We describe a rare case of scleromalacia perforans and orbital inflammatory disease in a 40-year-old Pakistani woman with apparently no associated rheumatologic deformity. It is rare in the sense that we usually see scleromalacia perforans with fixed deformities of rheumatoid arthritis in the hands or progressed systemic complications but not as a starting landmark of disease. She presented to us with pronounced eye manifestation which on further inquiry and investigation was found to be associated with rheumatoid arthritis. There was perforation of left globe on presentation and the right one was preserved. She visited various physicians and ophthalmologists and was treated with topical and systemic antibiotics but ended up losing sight in her left eye. Conclusion: We conclude that ocular manifestations, however rare they are, should be foreseen, investigated, and treated in patients with suspected arthritis as the complication is grave and sight threatening. © 2018 The Author(s).

引用

共 25 条

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