Systemic lupus erythematosus presenting earlier as retinal vaso-occlusion.
- Author:
Yong Ho SONG
1
;
Chae Gi KIM
;
Si Dong KIM
;
Yoon Young KIM
;
Jung Yoon CHOE
Author Information
1. Department of Internal Medicine, Catholic University of Daegu, School of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Systemic lupus erythematosus;
vaso-occlusive disease;
anticardiolipin antibodies
- MeSH:
Adolescent;
Adrenal Cortex Hormones/administration & dosage;
Angiography;
Case Report;
Diagnosis, Differential;
Female;
Follow-Up Studies;
Human;
Lupus Erythematosus, Systemic/*diagnosis/drug therapy;
Ophthalmoscopy;
Retinal Vein Occlusion/*diagnosis/drug therapy;
Treatment Outcome;
Visual Acuity
- From:The Korean Journal of Internal Medicine
2001;16(3):210-213
- CountryRepublic of Korea
- Language:English
-
Abstract:
Retinal vascular lesions are the most common ophthalmologic manifestation of systemic lupus erythematosus (SLE), occurring in 3% to 29% of cases, generally late in the disease. More rare is the severe vaso-occlusive disease, often termed "retinal vasculitis", which includes central retinal artery occlusion, multifocal arteriolar occlusions, extensive capillary nonperfusion and central venous occlusion. Patients with SLE and raised serum concentrations of anticardiolipin antibodies (ACA) have a higher risk of developing occlusive ocular vascular disease. We report a case in which retinal involvement was an earlier manifestation of SLE in a patient without ACA.