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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...

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Autores principales: Alahmadi, Reem M., Hashim, Rotana T., Almogairin, Sultan M., Abu AlAsrar, Ahmed M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: King Faisal Specialist Hospital and Research Centre 2016
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.
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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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