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CASE REPORT
Year : 2021  |  Volume : 4  |  Issue : 2  |  Page : 82-84

Unilateral orbital cellulitis as the presenting manifestation in a child with lupus nephritis


Division of Pediatric Nephrology, Sardar Vallav Bhai Patel Post Graduate Institute of Pediatrics, SCB Medical College, Cuttack, Orissa, India

Correspondence Address:
Subal Kumar Pradhan
Sardar Vallav Bhai Patel Post Graduate Institute of Pediatrics, SCB Medical College, Cuttack - 753 002, Orissa
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajpn.ajpn_3_21

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Pediatric systemic lupus erythematous (SLE) is a multisystem disease chiefly affecting skin, kidneys, joints, and hematologic system. However, no organ of the body is immune to this condition. Ocular manifestations are seen in one third of adult patients. The most common ocular manifestation is keratoconjunctivitis sicca, whereas the most severe forms are optic neuritis and retinal vasculitis. An isolated unilateral ocular manifestation is a rare initial presentation of lupus. Here, we described a 9-year-old girl who presented to us with orbital preseptal cellulitis and was later diagnosed as diffuse proliferative lupus nephritis, which responded well to immunosuppression.


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