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Bilateral ocular involvement in granulomatosis with polyangiitis

BMJ 2024; 384 doi: https://doi.org/10.1136/bmj-2023-078946 (Published 07 March 2024) Cite this as: BMJ 2024;384:e078946
  1. Huijng Huang, physician internist,
  2. Lindi Jiang, physician internist
  1. Department of Rheumatology, Zhongshan Hospital, Fudan University, Shanghai, China
  1. Correspondence to: L Jiang, zsh-rheum{at}hotmail.com

This man in his early 30s developed bilateral scleritis, oculomotor deficits, and proptosis with incomplete eyelid closure resulting in corneal ulceration and severe conjunctivitis (fig 1). Orbital magnetic resonance imaging showed optic atrophy and enlargement of the extraocular …

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