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Case Reports
. 2024 Sep;33(10):1145-1147.
doi: 10.1177/09612033241266093. Epub 2024 Jul 20.

Bilateral outer foveal microdefect in a patient with systemic lupus erythematosus using hydroxychloroquine - A case report

Eneida Machado Alves  1 , Vanessa Fonseca  1 , Carlos Antonio Moura  1   2 , Isabela S Oliveira  3 , Mittermayer B Santiago  2   3
Affiliations
Case Reports

Bilateral outer foveal microdefect in a patient with systemic lupus erythematosus using hydroxychloroquine - A case report

Eneida Machado Alves et al. Lupus. 2024 Sep.

Abstract

Introduction: The association of outer foveal microdefect and LES or hydroxychloroquine use has not been established in current literature.

Case report: We present the first reported case of bilateral outer foveal microdefect ina a patient with systemic lúpus erythematosus using hydroxycloroquine.

Discussion/conclusion: While it is not possible to definitively attribute the described findings in our patient to HCQ use, it is important to be aware of the possibility that the outer foveal microdefect may be caused by this medication. Therefore, patients on chronic HCQ therapy should be informed about the risk of potential visual adverse effects, so that appropriate interventions can be implemented if necessary.

Keywords: Systemic lupus erythematosus; foveal microdefect; hydroxychloroquine.

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Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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