Upon examination the patient had no cardiopulmonary, abdominal, locomotor, central or peripheral nervous system alterations just the right red eye and ptosis were found. The process had an abrupt onset and was not associated to fever or trauma, persisting over time and not improving with rest. The patient is a 74-year-old woman who came to our centers’ Emergency department due to 4 days with persistent headache associated to a red right eye and ptosis of the same side. doi:10.2147/ are writing to present the atypical case of a rare first manifestation of granulomatosis with polyangiitis. Herpes simplex keratitis: challenges in diagnosis and clinical management. Azher TN, Yin XT, Tajfirouz D, Huang AJ, Stuart PM.Evaluation and management of herpes zoster ophthalmicus. Diagnostic dilemmas in retinitis and endophthalmitis. Sainz de la Maza M, Foster CS, Jabbur NS.Bacterial conjunctivitis: a review for internists. Treasure Island (FL): StatPearls Publishing 2021 Jan. 2021 Mar: 1McGill University, Montreal, QC, Canada. Diagnosis of Red Eye and Management in Primary Care. Primary and secondary lacrimal canaliculitis: a review of literature. Differentiating Urgent and Emergent Causes of Acute Red Eye for the Emergency Physician.
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