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Case Reports
. 2012 May 15;2(2):e54.
doi: 10.4081/cp.2012.e54. eCollection 2012 Mar 30.

Retinal vasculitis in systemic lupus erythematosus: an indication of active disease

Umi Kalthum Md Noh  1 , Aida Zairani A Zahidin  1 , Then Kong Yong  1
Affiliations
Case Reports

Retinal vasculitis in systemic lupus erythematosus: an indication of active disease

Umi Kalthum Md Noh et al. Clin Pract. .

Abstract

A 26-year-old woman with a recent flare-up of systemic lupus erythematosus presented with peripheral retinal hemorrhages at a routine check-up. She is on a tapering dose of immunosuppressive agents. Her visual acuity was good. Fluorescein angiogram revealed vasculitic changes with capillary non-perfusion areas. A few weeks later, she developed cerebral lupus with advanced lupus nephritis. Immunosuppressive therapy was restarted and panretinal photocoagulation was delivered. Her visual acuity remained stable, despite development of a cataract from prednisolone therapy.

Keywords: fluorescein angiogram; panretinal photocoagulation.; systemic lupus erythematosus; vasculitis.

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Conflict of interest statement

Conflict of interests: the authors declare no potential conflict of interests.

Figures

Figure 1
Figure 1
Colored photograph showing peripheral blotch hemorrhage with retina vessels tortuosity at periphery. Macula appearance is normal.
Figure 2
Figure 2
Fluorescein angiography showed extensive capillary non-perfusion and shunt vessels.
See this image and copyright information in PMC

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