Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Ocular Flare-Up in Patients With Systemic Lupus Erythematosus Following Discontinuation of Hydroxychloroquine Publisher Pubmed



Ebrahimiadib N1 ; Riaziesfahani H1 ; Heidari M1 ; Mahmoudi A1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Retina Service, Farabi Eye Hospital, Ophthalmology Department, Tehran University of Medical Sciences, Tehran, Iran

Source: Lupus Published:2020


Abstract

In this report, we describe two patients with systemic lupus erythematosus (SLE) who manifested with posterior segment flare-up approximately three months after cessation of hydroxychloroquine (HCQ). They were stable systemically with no history of hypertension or nephropathy at the time of referral. Our first patient presented with bilateral retinal vein occlusion, while evidence of choroidal involvement such as vascular leakage and wedge-shaped filling delay was present in indocyanine green angiography of both patients. HCQ is well known to have a role in the treatment of SLE for its immunomodulatory and antithrombotic effects. Although reports of systemic flare-up of SLE following HCQ cessation exist in the literature, this is the first report of ocular flare-up in such settings. © The Author(s) 2020.