DOI: 10.12890/2020_001964
Keep an Eye Out for Crohn’s Disease: Orbital Myositis as the Initial Sign before Gastrointestinal Manifestations
Authors
jadhoilat@hotmail.com
Keywords
Crohn’s disease, orbital myositis, extraintestinal manifestationsAbstract
Extraintestinal manifestations of Crohn's disease sometimes occur and can present prior to intestinal symptoms. Ocular manifestations of Crohn's disease are considered rare, with orbital myositis an even rarer manifestation with only a handful of cases reported in the literature. We present the case of a young woman who was diagnosed with orbital myositis, which was initially attributed to pseudotumor cerebri after an extensive negative work-up. Months later, the patient presented with haematochezia, and was subsequently diagnosed with Crohn's disease.
References
- Bernstein CN, Blanchard JF, Rawsthorne P, Yu N. The prevalence of extraintestinal diseases in inflammatory bowel disease: a population-based study. Am J Gastroenterol 2001;96(4):1116–1122.
- Kim DR, Kim D, Choi S, Suh YL, Yoo SY, Kim MJ, et al. Myositis as an initial presentation of ulcerative colitis before gastrointestinal symptoms. Pediatr Gastroenterol Hepatol Nutr 2020;23(3):297–303.
- Verma S, Kroeker KI, Fedorak RN. Adalimumab for orbital myositis in a patient with Crohn's disease who discontinued infliximab: a case report and review of the literature. BMC Gastroenterol 2013;13:59.
- Benmiloud S, Boubbou M, Hida M. Bilateral idiopathic orbital myositis in an infant. Int J Res Med 2013;2:112–114.
- Harbord M, Annese V, Vavricka SR, Allez M, Barreiro-de Acosta M, Boberg KM, et al. The first European evidence-based consensus on extra-intestinal manifestations in inflammatory bowel disease. J Crohns Colitis 2016;10(3):239–254.