ABSTRACT As scleritis may represent the initial manifestation of systemic vasculitis, recognizing drug-related etiologies iscrucial — particularly propylthiouracil (PTU). This medication is widely used to treat Graves disease and can trigger antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). This study aims to describe the clinical course and diagnostic reasoning of a case of nodular scleritis associated with PTU-induced leukocytoclastic vasculitis (LCV), emphasizing the importance of early identification. This case report is based on medical record review, ophthalmological examination, skin biopsy, and […]

The authors report a case of a 69 year-old woman who developed persistent vertical deviation and diplopia after extracapsular cataract surgery and had a positive past history of thyroid disease. The authors emphasize the need of for detailed orbit propedeutics in order to rule out restrictive strabismus associated with post-facectomy diplopia.