Severe scleritis and urticarial lesions.

Abstract

To report the first known case of bilateral scleritis in a patient with hypocomplementemic urticarial vasculitis. Interventional case report. Medical and ophthalmic history, results of physical and ophthalmic examinations, laboratory data, and histologic and immunopathologic examination were reviewed and results recorded. A 67-year-old man who presented with eye redness and pain, rash, arthralgia, and malaise was found to have hypocomplementemic urticarial vasculitis. Treatment with high-dose oral corticosteroids and mycophenolate mofetil resulted in the resolution of the rash and scleritis. Ocular involvement may be a helpful clue in the diagnosis of this uncommon syndrome.