title: Transient myopic shift as the presenting symptom of systemic lupus erythematosus: a UBM study.
abstract: OBJECTIVE
  To report ultrabiomicroscopy (UBM) evidence of choroid effusion as a cause of acute transient myopia in the onset of systemic lupus erythematosus.
  
  
  METHODS
  Observational case report.
  
  
  METHODS
  A Caucasian 16-year-old girl was referred to the Hematology Department for progressive anemia, intermittent fever, and blurred vision.
  
  
  RESULTS
  Systemic lupus erythematosus was confirmed by hematological investigations. UBM examination evidenced choroid effusion as the cause of a transient myopic shift.
  
  
  CONCLUSIONS
  Early diagnosis, thanks to the performance of an ultrasound examination, enabled the timely institution of therapy and hence a rapid resolution of the symptoms.
authors.affiliation: Department of Ophthalmology and Otolaryngology, Bari University, Bari, Italy. silvanaguerriero@gmail.com
authors.forename: Silvana
authors.initials: S
authors.lastname: Guerriero
authors.forename: Lorenza
authors.initials: L
authors.lastname: Ciracì
authors.forename: Giuseppina
authors.initials: G
authors.lastname: Cardia
authors.forename: Michele
authors.initials: M
authors.lastname: Vetrugno
mesh_terms: D000293:Adolescent; D002829:Choroid / Q000378:metabolism / Q000473:pathology; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology; D033401:Microscopy, Acoustic; D009216:Myopia / Q000175:diagnosis* / Q000209:etiology*; D011239:Prednisolone / Q000627:therapeutic use; D014792:Visual Acuity / Q000187:drug effects
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone