Systemic Lupus Erythematosus-associated Retinal Vasculitis Treated with Adalimumab

PURPOSE: To present a case of refractory systemic lupus erythematosus (SLE)-associated retinal vasculitis that responded to the anti-tumor necrosis factor (TNF)-alpha inhibitor adalimumab as corticosteroid-sparing therapy.

METHODS: Descriptive case report of a patient with SLE with retinal vasculitis complicated by an ischemic retinal vein occlusion and cystoid macular edema.

RESULTS: A 30-year-old female patient with a history of SLE presented with retinal vasculitis and an ischemic, branch retinal vein occlusion with macular edema in the left eye. Oral corticosteroid was administered along with mycophenolate mofetil (MMF) as a corticosteroid-sparing agent. Despite MMF therapy, the patient developed an exacerbation of her vasculitis with the involvement of both eyes. Adalimumab was initiated with a resultant resolution of retinal vasculitis as a corticosteroid-sparing strategy with over 2 years of follow-up.

CONCLUSION: Anti-TNF-alpha therapy with adalimumab may be effective as a corticosteroid-sparing agent in select patients with ocular inflammation associated with SLE.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Ocular immunology and inflammation - 30(2022), 4 vom: 19. Mai, Seite 981-985

Sprache:

Englisch

Beteiligte Personen:

Kuthyar, Sanjana [VerfasserIn]
Barnes, Alexander C [VerfasserIn]
Bhawal, Javeria [VerfasserIn]
Christiansen, Joseph [VerfasserIn]
Shantha, Jessica G [VerfasserIn]
Yeh, Steven [VerfasserIn]

Links:

Volltext

Themen:

Adalimumab
Biologics
Case Reports
FYS6T7F842
Immunosuppression
Journal Article
Retinal vasculitis
Systemic lupus erythematosus
Tumor Necrosis Factor Inhibitors

Anmerkungen:

Date Completed 01.09.2022

Date Revised 20.05.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/09273948.2020.1828937

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317637274