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Bilateral Posterior Scleritis Presenting as the First Manifestation of Immunoglobulin A Nephropathy: Case Report and Review of the Literature.
- Source :
-
Ocular Immunology & Inflammation . Feb2016, Vol. 24 Issue 1, p43-48. 6p. - Publication Year :
- 2016
-
Abstract
- <bold>Purpose: </bold>We describe a case of posterior scleritis presenting as the first manifestation in a Chinese patient with immunoglobin A nephropathy (IgAN).<bold>Methods: </bold>Retrospective review of our patient and review of the published case reports from PubMed search.<bold>Results: </bold>A 43-year-old woman developed bilateral posterior scleritis. Microscopic hematuria and proteinuria was found by urinalysis, and a kidney biopsy revealed IgAN. The posterior scleritis was resolved with oral prednisolone. For the review, 12 cases of episcleritis (70.6%), 4 cases of scleritis (23.5%), and 1 case of posterior scleritis (5.9%) associated with IgAN were analyzed. Five patients (29.4%) had scleritis or episcleritis as the first presenting manifestation.<bold>Conclusions: </bold>Posterior scleritis may be the first manifestation of IgAN in a patient. For any adult patient with scleral/episcleral inflammation, urinalysis should be done to rule out IgAN. [ABSTRACT FROM AUTHOR]
- Subjects :
- *IMMUNOGLOBULIN A
*RENAL biopsy
*SCLERITIS
*PREDNISOLONE
*URINALYSIS
*THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 09273948
- Volume :
- 24
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Ocular Immunology & Inflammation
- Publication Type :
- Academic Journal
- Accession number :
- 112998678
- Full Text :
- https://doi.org/10.3109/09273948.2014.964420