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. 1990 Mar;74(3):163–167. doi: 10.1136/bjo.74.3.163

External ocular findings in lupus erythematosus: a clinical and immunopathological study.

P Frith 1, S M Burge 1, P R Millard 1, F Wojnarowska 1
PMCID: PMC1042040  PMID: 2182104

Abstract

A selected group of 18 patients with systemic lupus erythematosus (SLE) and 30 patients with chronic cutaneous lupus erythematosus (CCLE) showed an unexpectedly high incidence of problems involving the globe or eyelids. Five SLE patients had recurrent episcleritis, two CCLE patients had lower tarsal plaques, and two further CCLE patients had erosion of the lower lid margins associated with conjunctival scarring and symblepharon. This association has not previously been reported. There was an unexpectedly high incidence of deposition of immunoreactants in a linear pattern at the basement membrane zone in normal bulbar conjunctiva, which occurred in both SLE (42%) and CCLE (50%). The significance of these findings is discussed. We believe surface ocular problems in lupus erythematosus to be under-reported and that direct immunofluorescence of bulbar conjunctival biopsy might be helpful in diagnosis.

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Selected References

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  1. ANDREASEN J. O. ORAL MANIFESTATIONS IN DISCOID AND SYSTEMIC LUPUS ERYTHEMATOSUS. I. CLINICAL INVESTIGATION. Acta Odontol Scand. 1964 Aug;22:295–310. doi: 10.3109/00016356409028206. [DOI] [PubMed] [Google Scholar]
  2. CAPDEVILA J. M., CARDENAL C., VILANOVA X. Chronischer Lupus erythematodes der Conjunctiva. Dermatologica. 1956 Oct;113(4):226–231. [PubMed] [Google Scholar]
  3. DUBOIS E. L., TUFFANELLI D. L. CLINICAL MANIFESTATIONS OF SYSTEMIC LUPUS ERYTHEMATOSUS. COMPUTER ANALYSIS OF 520 CASES. JAMA. 1964 Oct 12;190:104–111. doi: 10.1001/jama.1964.03070150014003. [DOI] [PubMed] [Google Scholar]
  4. Donzis P. B., Insler M. S., Buntin D. M., Gately L. E. Discoid lupus erythematosus involving the eyelids. Am J Ophthalmol. 1984 Jul 15;98(1):32–36. doi: 10.1016/0002-9394(84)90185-5. [DOI] [PubMed] [Google Scholar]
  5. Frith P. A., Venning V. A., Wojnarowska F., Millard P. R., Bron A. J. Conjunctival involvement in cicatricial and bullous pemphigoid: a clinical and immunopathological study. Br J Ophthalmol. 1989 Jan;73(1):52–56. doi: 10.1136/bjo.73.1.52. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gilliam J. N. The significance of cutaneous immunoglobulin deposits in lupus erythematosus and NZB/NZW F1 hybrid mice. J Invest Dermatol. 1975 Jul;65(1):154–161. doi: 10.1111/1523-1747.ep12598109. [DOI] [PubMed] [Google Scholar]
  7. Gold D. H., Morris D. A., Henkind P. Ocular findings in systemic lupus erythematosus. Br J Ophthalmol. 1972 Nov;56(11):800–804. doi: 10.1136/bjo.56.11.800. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Huey C., Jakobiec F. A., Iwamoto T., Kennedy R., Farmer E. R., Green W. R. Discoid lupus erythematosus of the eyelids. Ophthalmology. 1983 Dec;90(12):1389–1398. doi: 10.1016/s0161-6420(83)34367-0. [DOI] [PubMed] [Google Scholar]
  9. Jonsson R., Heyden G., Westberg N. G., Nyberg G. Oral mucosal lesions in systemic lupus erythematosus--a clinical, histopathological and immunopathological study. J Rheumatol. 1984 Feb;11(1):38–42. [PubMed] [Google Scholar]
  10. Jordon R. E., Schroeter A. L., Winkelmann R. K. Dermal-epidermal deposition of complement components and properdin in systemic lupus erythematosus. Br J Dermatol. 1975 Mar;92(3):263–271. doi: 10.1111/j.1365-2133.1975.tb03075.x. [DOI] [PubMed] [Google Scholar]
  11. Kearns W., Wood W., Marchese A. Chronic cutaneous lupus involving the eye lid. Ann Ophthalmol. 1982 Nov;14(11):1009–1010. [PubMed] [Google Scholar]
  12. Landry M., Sams W. M., Jr Systemic lupus erythematosus. Studies of the antibodies bound to skin. J Clin Invest. 1973 Aug;52(8):1871–1880. doi: 10.1172/JCI107370. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Nowinski T., Bernardino V., Naidoff M., Parrish R. Ocular involvement in lupus erythematosus profundus (panniculitis). Ophthalmology. 1982 Oct;89(10):1149–1154. doi: 10.1016/s0161-6420(82)34661-8. [DOI] [PubMed] [Google Scholar]
  14. Provost T. T. Lupus band test. Int J Dermatol. 1981 Sep;20(7):475–481. doi: 10.1111/j.1365-4362.1981.tb04906.x. [DOI] [PubMed] [Google Scholar]
  15. Ramos-Niembro F., Alarcon-Segovia D. Development of sicca symptoms in systemic lupus erythematosus patients with existing subclinical abnormalities of lacrimal and/or salivary glands. Arthritis Rheum. 1979 Aug;22(8):935–936. doi: 10.1002/art.1780220822. [DOI] [PubMed] [Google Scholar]
  16. Schiødt M., Holmstrup P., Dabelsteen E., Ullman S. Deposits of immunoglobulins, complement, and fibrinogen in oral lupus erythematosus, lichen planus, and leukoplakia. Oral Surg Oral Med Oral Pathol. 1981 Jun;51(6):603–608. doi: 10.1016/s0030-4220(81)80010-2. [DOI] [PubMed] [Google Scholar]
  17. Schiødt M. Oral manifestations of lupus erythematosus. Int J Oral Surg. 1984 Apr;13(2):101–147. doi: 10.1016/s0300-9785(84)80079-4. [DOI] [PubMed] [Google Scholar]
  18. Tan E. M., Cohen A. S., Fries J. F., Masi A. T., McShane D. J., Rothfield N. F., Schaller J. G., Talal N., Winchester R. J. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982 Nov;25(11):1271–1277. doi: 10.1002/art.1780251101. [DOI] [PubMed] [Google Scholar]
  19. Tosti A., Tosti G., Giovannini A. Discoid lupus erythematosus solely involving the eyelids: report of three cases. J Am Acad Dermatol. 1987 Jun;16(6):1259–1260. doi: 10.1016/s0190-9622(87)80023-3. [DOI] [PubMed] [Google Scholar]
  20. Venning V. A., Frith P. A., Bron A. J., Millard P. R., Wojnarowska F. Mucosal involvement in bullous and cicatricial pemphigoid. A clinical and immunopathological study. Br J Dermatol. 1988 Jan;118(1):7–15. doi: 10.1111/j.1365-2133.1988.tb01744.x. [DOI] [PubMed] [Google Scholar]
  21. Watson P. G., Hayreh S. S. Scleritis and episcleritis. Br J Ophthalmol. 1976 Mar;60(3):163–191. doi: 10.1136/bjo.60.3.163. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Williamson J. Incidence of eye disease in cases of connective tissue disease. Trans Ophthalmol Soc U K. 1974 Sep;94(3):742–752. [PubMed] [Google Scholar]
  23. Zamansky G. B. Sunlight-induced pathogenesis in systemic lupus erythematosus. J Invest Dermatol. 1985 Sep;85(3):179–180. doi: 10.1111/1523-1747.ep12276644. [DOI] [PubMed] [Google Scholar]

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