Rare extra-articular manifestation of rheumatoid arthritis: scleromalacia perforans.
Rheumatoid arthritis is a systemic disease with manifestations in many organs. In most cases, involvement of the locomotor system dominates the clinical picture. However, extra-articular manifestations can be detected in almost any organ system with varied incidence in different series. Ophthalmic presentations include Sjogren's syndrome, episcleritis, and scleritis. The most severe form of scleritis, scleromalacia perforans, is a very rare ophthalmic manifestation. We present the case of a 60-year-old man who had had rheumatoid arthritis for more than 10 years. He had scleromalacia perforans but no other extra-articular manifestations.
Wu
Chen-Ching
CC
Division of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. randymanwu@hotmail.com
Yu
Hui-Chun
HC
Yen
Jeng-Hsen
JH
Tsai
Wen-Chan
WC
Liu
Hong-Wen
HW
D001172:Arthritis, Rheumatoid / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015423:Scleritis / Q000209:etiology*; D013624:Taiwan