Primary Sjogren's Syndrome with Retinal Vasculitis: A case report and Literature Review
Accept poster if oral is not possible ?
Yes
Purpose
To present a case of primary Sjogren's syndrome with retinal vasculitis
Methods
Case report and literature review
Results
A 39-year-old female presented with skin rash, fever and headache with neck stiffness. Under the impression of meningitis, empirical ceftriaxone was administrated. However, after 1 week, bilateral panuveitis and retinal vasculitis were noted. Rheumatologist and ophthalmologist were consulted. Further examination confirmed the diagnosis of primary Sjogren syndrome. Systemic prednisolone was prescribed and inflammation was then gradually subsided.
Conclusion
Retinal vasculitis is a rare initial presentation of Sjögren’s syndrome (SS). In most cases, the presentation of SS-related retinal vasculitis is preceded by common systemic symptoms such as fever and skin rash. Corticosteroid therapy remains the first-line treatment to control the autoimmune-mediated inflammation, while intravitreal injections and pan-retinal photocoagulation can be used to manage associated neovascularization. Given the complexity of SS and its potential for ocular involvement, a multidisciplinary approach is essential for the timely diagnosis and management of these patients. Early intervention can help prevent severe visual impairment and blindness. In summary, although retinal vasculitis as an initial manifestation of SS is uncommon, prompt recognition and appropriate treatment are critical in preventing long-term visual complications.
Conflict of interest
No
1
Last name
LEE
Initials of first name(s)
D
Department
Kaohsiung Medical University Gangshan Hospital
City
Kaohsiung city
Country
Taiwan
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