This woman was referred to the eye clinic by her physician
for an ocular examination.
a. What do the picture show?
Erythema of both cheeks and nail fold erythema.
b. What is the most likely diagnosis?
Systemic lupus erythematosus.
c. Why does her physician refer her for an ophthalmic assessment?
Patient is on hydroxychloroquine. The opthalmic assessment
is to document the eye for any abnormality for future reference in case
she develop hydroxychloroquine retinopathy.
.