Optic nerve involvement in childhood onset systemic lupus erythematosus: Three cases and a review of the literature

Lupus. 2016 Jan;25(1):93-6. doi: 10.1177/0961203315603142. Epub 2015 Sep 4.

Abstract

The ocular system can be affected in systemic lupus erythematosus (SLE) in one third of patients. However, optic nerve involvement is relatively uncommon, but is more so in pediatric SLE patients, where it can occur in 1% of cases. We report three children with SLE who presented with optic nerve involvement. Two children had optic neuritis, with optic neuritis being the first manifestation in one child. The third child had ischaemic optic neuropathy secondary to antiphospholipid syndrome. A careful work up for SLE should be performed in every child with optic nerve disease. Prompt diagnosis and early treatment results in a better prognosis.

Keywords: Childhood systemic lupus erythematosus; ischemic optic neuropathy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Age of Onset
  • Antiphospholipid Syndrome / complications*
  • Antiphospholipid Syndrome / diagnosis
  • Antiphospholipid Syndrome / drug therapy
  • Child
  • Drug Therapy, Combination
  • Fatal Outcome
  • Female
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Lupus Erythematosus, Systemic / complications*
  • Lupus Erythematosus, Systemic / diagnosis
  • Lupus Erythematosus, Systemic / drug therapy
  • Optic Neuritis / diagnosis
  • Optic Neuritis / drug therapy
  • Optic Neuritis / etiology*
  • Optic Neuropathy, Ischemic / diagnosis
  • Optic Neuropathy, Ischemic / drug therapy
  • Optic Neuropathy, Ischemic / etiology*
  • Predictive Value of Tests
  • Remission Induction
  • Risk Factors
  • Treatment Outcome

Substances

  • Immunosuppressive Agents