PMC9271790_01
Ophthalmological slit-lamp examination before and after the intravenous immunoglobulin (IVIG) administration. Right (A) and left (B) slit-lamp photographs show bilateral conjunctival, episcleral and scleral njection, suggesting scleritis and concomitant conjunctivitis. Right (C) and left (D) slit-lamp photographs after IVIG administration, showing the dramatic improvement in their ocular findings.
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F1
Ophthalmological examination revealed anterior scleritis suggested by diffuse episcleral and deep scleral injection with microvascular dilatation, as well as bilateral conjunctivitis (Figures 1A,B). Notably, the ocular manifestations improved dramatically after intravenous immunoglobulin administration, without additional topical steroids (Figures 1C,D).
Fundus findings before the IVIG treatment. Right (A) and left (B) wide-field fundus photographs show no abnormal findings.
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F2
The fundal examination findings were unremarkable (Figure 2).
Clinical course. BNP, brain natriuretic peptide; CRP, C-reactive protein; GI, gastrointestinal; IVIG, intravenous immunoglobulin; LVEF, left ventricular ejection fraction.
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F3
The patient was discharged on day 18 and had uneventful cardiac and ocular manifestations 6 months after discharge (Figure 3).