Bilateral choroidopathy as an initial presentation in systemic lupus erythematosus

Abstract

We present a case of bilateral (B/L) choroidopathy as an initial presentation in systemic lupus erythematosus (SLE). A 25-year-old female presented with complaints of swelling, redness, and diminution of vision (DOV) with myopic shift since 10 days. Oral antihistaminics were prescribed, considering food allergy due to history of ingestion of fish. But she developed further DOV with macular and facial edema after 2 months. On detailed investigations and consultation with a nephrologist and a rheumatologist, she was diagnosed to have SLE and treated with immunosuppressants. This case highlights that ophthalmic examination should be carefully done and monitored as it may be the only sign of presentation and disease progression.