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Purtscher-like retinopathy as a first presentation of systematic lupus erythematosus
Systemic lupus erythematosus (SLE) is an autoimmune inflammatory disease, characterized by the involvement of multiple organ systems. Ocular involvement, being one of the manifestations, contributes to the assessment of disease activity. Purtscher-like retinopathy has been reported as a manifestatio...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
King Faisal Specialist Hospital and Research Centre
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074279/ https://www.ncbi.nlm.nih.gov/pubmed/26922694 http://dx.doi.org/10.5144/0256-4947.2016.85 |
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author | Alahmadi, Reem M. Hashim, Rotana T. Almogairin, Sultan M. Abu AlAsrar, Ahmed M. |
author_facet | Alahmadi, Reem M. Hashim, Rotana T. Almogairin, Sultan M. Abu AlAsrar, Ahmed M. |
author_sort | Alahmadi, Reem M. |
collection | PubMed |
description | Systemic lupus erythematosus (SLE) is an autoimmune inflammatory disease, characterized by the involvement of multiple organ systems. Ocular involvement, being one of the manifestations, contributes to the assessment of disease activity. Purtscher-like retinopathy has been reported as a manifestation of SLE. An otherwise healthy 21-year old female presented with a bilateral rapid decrease in vision for 1 month. Fundus examination revealed multiple cotton wool spots and flame-shaped hemorrhages in both eyes. Optical coherence tomography displayed bilateral severe macular edema. Fundus fluorescein angiography showed multiple retinal arteriolar occlusions. A rheumatologist was consulted for investigation. Based on the American College of Rheumatology 1982 Revised Criteria for diagnosing SLE, a diagnosis of SLE was made. She was subsequently treated with corticosteroids and immunosuppressive medication. Although vaso-occlusive retinopathy is a rare presentation of SLE, it is significant in diagnosing SLE in a patient, to promptly initiate proper treatment. |
format | Online Article Text |
id | pubmed-6074279 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | King Faisal Specialist Hospital and Research Centre |
record_format | MEDLINE/PubMed |
spelling | pubmed-60742792018-09-21 Purtscher-like retinopathy as a first presentation of systematic lupus erythematosus Alahmadi, Reem M. Hashim, Rotana T. Almogairin, Sultan M. Abu AlAsrar, Ahmed M. Ann Saudi Med Case Report Systemic lupus erythematosus (SLE) is an autoimmune inflammatory disease, characterized by the involvement of multiple organ systems. Ocular involvement, being one of the manifestations, contributes to the assessment of disease activity. Purtscher-like retinopathy has been reported as a manifestation of SLE. An otherwise healthy 21-year old female presented with a bilateral rapid decrease in vision for 1 month. Fundus examination revealed multiple cotton wool spots and flame-shaped hemorrhages in both eyes. Optical coherence tomography displayed bilateral severe macular edema. Fundus fluorescein angiography showed multiple retinal arteriolar occlusions. A rheumatologist was consulted for investigation. Based on the American College of Rheumatology 1982 Revised Criteria for diagnosing SLE, a diagnosis of SLE was made. She was subsequently treated with corticosteroids and immunosuppressive medication. Although vaso-occlusive retinopathy is a rare presentation of SLE, it is significant in diagnosing SLE in a patient, to promptly initiate proper treatment. King Faisal Specialist Hospital and Research Centre 2016 /pmc/articles/PMC6074279/ /pubmed/26922694 http://dx.doi.org/10.5144/0256-4947.2016.85 Text en Copyright © 2016, Annals of Saudi Medicine This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Case Report Alahmadi, Reem M. Hashim, Rotana T. Almogairin, Sultan M. Abu AlAsrar, Ahmed M. Purtscher-like retinopathy as a first presentation of systematic lupus erythematosus |
title | Purtscher-like retinopathy as a first presentation of systematic lupus erythematosus |
title_full | Purtscher-like retinopathy as a first presentation of systematic lupus erythematosus |
title_fullStr | Purtscher-like retinopathy as a first presentation of systematic lupus erythematosus |
title_full_unstemmed | Purtscher-like retinopathy as a first presentation of systematic lupus erythematosus |
title_short | Purtscher-like retinopathy as a first presentation of systematic lupus erythematosus |
title_sort | purtscher-like retinopathy as a first presentation of systematic lupus erythematosus |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074279/ https://www.ncbi.nlm.nih.gov/pubmed/26922694 http://dx.doi.org/10.5144/0256-4947.2016.85 |
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