A Case of Systemic Lupus Erythematosus Presenting with Amaurosis Fugax without Antiphospholipid Antibodies Syndrome.
10.12701/yujm.2006.23.1.113
- Author:
Jung Hyun KIM
1
;
Jung Sang HAH
;
Mee Young PARK
;
Se Jin LEE
;
Jun LEE
Author Information
1. Department of Neurology, College of Medicine, Yeungnam University, Daegu, Korea. junleeluke@hanmail.net
- Publication Type:Case Report
- Keywords:
Systemic lupus erythematosus;
Amaurosis fugax
- MeSH:
Amaurosis Fugax*;
Angiography;
Antibodies, Antiphospholipid*;
Arteries;
Autoimmune Diseases;
Blindness*;
Carotid Artery, Internal;
Constriction, Pathologic;
Female;
Humans;
Inflammation;
Ischemic Attack, Transient;
Korea;
Lupus Erythematosus, Systemic*;
Magnetic Resonance Imaging;
Middle Aged;
Nervous System;
Retinaldehyde
- From:Yeungnam University Journal of Medicine
2006;23(1):113-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that may affect many organ systems including the nervous system. The immune response in patients with SLE can cause inflammation and other damage that can cause significant injury to the arteries and tissues. A 48-year-old woman was admitted to the hospital because of transient monocular blindness. Magnetic resonance imaging and conventional angiography showed severe stenosis of the distal intracranial internal carotid artery. The patient was diagnosed as having SLE but the antiphospholipid antibodies were negative. Amaurosis fugax has not been previously reported as an initial manifestation of SLE in Korea. We report a patient with a retinal transient ischemic attack as the first manifestation of SLE.