Case Report: Binocular blindness in reversible posterior encephalopathy syndrome revealing lupus

Author:

Hammami OlfaORCID,guissouma jihene,trabelsi insaf,allouche hend,ben ali hana,gadhoune hatem

Abstract

Optic neuropathy is very rare and exceptionally inaugural in systemic erythematous lupus erythematosus (SLE), and posterior reversible encephalopathy syndrome (PRES) is a novel clinical disorder. What makes this observation unique is the combination of these two pathologies. We Hereby present the case of a severe presentation of PRES in a 15-year-old girl who was transferred to the intensive care unit for worsening hypertension and abdominal pain. The patient was first admitted to the adult medical department for sudden onset of binocular blindness. Therefore, antihypertensive drugs were prescribed and mechanical ventilation was required. A head computed tomography and MRI supported the diagnosis of PRES. The course was marked by a progressive improvement in blood pressure and recovery of normal vision after 2 days. The patient was transferred to the nephrology department for renal biopsy. The diagnosis of SLE was based on four ACR criteria: positive ANA, positive anti-DNA, proteinuria greater than 0.5 g/l and lymphopenia. In the presence of PRES, there should be no hesitation in requesting an immunological workup to look for a systemic disease. Despite a worrying clinical and radiological presentation, the prognosis of PRES remains favorable.

Publisher

F1000 Research Ltd

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3