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Sequential bilateral central retinal artery occlusion as the primary manifestation of systemic lupus erythematosus / 中华医学杂志(英文版)
Chinese Medical Journal ; (24): 1517-1519, 2012.
Article in English | WPRIM | ID: wpr-324944
ABSTRACT
Bilateral central retinal artery occlusion (CRAO) has been rarely reported as the primary manifestation in patients with systemic lupus erythematosus (SLE). The severe retinal vaso-occlusive diseases usually cause devastating and permanent damage to visual function in spite of vigorous treatment. A 42-year-old Chinese woman presented with abrupt bilateral vision loss. The diagnosis of bilateral CRAO was suggested by the ocular presentation and fluorescein angiography. Laboratory studies showed positive results of antinuclear antibody, anti-Ro/SSA anti-La/SSB; decreased levels of C3, C4 complement and normal levels of antiphospholipides antibodies (APAs). Her visual acuity deteriorated despite systemic steroid and immunosuppressant treatment. Severe vaso-occlusive retinopathy may be an earlier manifestation of SLE without elevated level of APAs.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Retinal Artery Occlusion / Blindness / Drug Therapy / Allergy and Immunology / Lupus Erythematosus, Systemic Limits: Adult / Female / Humans Language: English Journal: Chinese Medical Journal Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Retinal Artery Occlusion / Blindness / Drug Therapy / Allergy and Immunology / Lupus Erythematosus, Systemic Limits: Adult / Female / Humans Language: English Journal: Chinese Medical Journal Year: 2012 Type: Article