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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Sclerodermatomyositis, ocular manifestations
Journal Information
Vol. 92. Issue 7.
Pages 334-337 (July 2017)
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Vol. 92. Issue 7.
Pages 334-337 (July 2017)
Short communication
Sclerodermatomyositis, ocular manifestations
Esclerodermatomiositis con manifestaciones oculares predominantes
Visits
27
M. Pedroza-Seresa,
Corresponding author
mpedrozaseres@gmail.com

Corresponding author.
, J.C. Serna-Ojedaa, L.F. Flores-Suárezb
a Instituto de Oftalmología «Conde de Valenciana», Mexico City, Mexico
b Clínica de Vasculitis Sistémicas Primarias, Instituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico
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Abstract
Background

Sclerodermatomyositis is an overlap syndrome of myositis and scleroderma, with dermatological, muscular and joint involvement, but may also present with ocular manifestations.

Clinical case

A 57 year-old woman presented with ophthalmological manifestations, including scleral thinning 360°, and the presence of cells in the anterior and posterior chamber. Oriented physical examination and laboratory studies led to the diagnosis, with the need for systemic treatment.

Conclusion

Sclerodermatomyositis is a rare disease. Its diagnosis needs thorough clinical and laboratory studies, and its management should be multidisciplinary when inflammatory ocular manifestations may be present.

Keywords:
Sclerodermatomyositis
Overlap syndrome
Antinuclear antibodies
Sclera
Myositis
Resumen
Antecedentes

La esclerodermatomiositis es un síndrome de superposición que tiene manifestaciones dermatológicas, musculares y articulares, y que puede presentar afección ocular.

Caso clínico

Se presenta el caso de una mujer de 57 años en quien la exploración oftalmológica hizo evidente adelgazamiento escleral 360 grados, celularidad anterior y vítrea. La exploración física orientada y los estudios de laboratorio permitieron sustentar el diagnóstico de esclerodermatomiositis, por lo que se trató de forma sistémica.

Conclusión

La esclerodermatomiositis es una enfermedad rara, cuyo diagnóstico implica estudio clínico y de laboratorio, y su manejo debe ser multidisciplinario, donde las manifestaciones oculares inflamatorias pueden estar presentes.

Palabras clave:
Esclerodermatomiositis
Síndrome de superposición
Anticuerpos antinucleares
Esclera
Miositis

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