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The First Case Report of Schnitzler Syndrome Presenting with Eye Pain
Authors:Richard R. Sadig  D. Wakefield  CL. Fraser
Affiliation:1. St George and Sutherland Clinical School, Faculty of Medicine, University of New South Wales, Kogarah, NSW, Australiarichard.sadig1@my.nd.edu.au"ORCIDhttps://orcid.org/0000-0003-2267-7461;3. Faculty of Medicine, University of New South Wales, NSW Health Pathology, Sutherland Centre of Immunology, The Sutherland Hospital, The Kingsway, Caringbah, NSW, Australia"ORCIDhttps://orcid.org/0000-0002-7736-3083;4. Save Sight Institute, University of Sydney, Sydney, NSW, Australia"ORCIDhttps://orcid.org/0000-0002-0379-7743
Abstract:ABSTRACT

Schnitzler syndrome is a rare, auto inflammatory condition known to manifest with bone pain, urticarial rash, fevers, relapsing arthralgia, and fatigue. In this case report, we describe a patient who was diagnosed with Schnitzler Syndrome that had initially presented with a unilateral pressure-type headache with a sensation of a ‘dagger’ stabbing into the back of the eye. He also had an associated ipsilateral redness of the conjunctiva, eyelid swelling, subtle optic disc elevations bilaterally and facial flushing - but with no visual acuity, pupillary, or lacrimatory changes. Anterior segment, fundoscopy, intraocular pressures and extraocular muscle movements were otherwise normal.
Keywords:Autonomic cephalgia  disc elevation  eye pain  injected conjunctivae  ophthalmology  Schnitzler
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