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Inaugural severe vaso-occlusive retinopathy in systemic lupus erythematosus

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Abstract

Purpose To report the case of a patient with an inaugural severe bilateral vaso-occlusive retinopathy due to systemic lupus erythematosus. Method Clinical examination, fundus pictures and fluorescein angiography were performed. Results A 26-year-old, healthy, African man presented with a meningo-encephalitic syndrome and a severe bilateral visual impairment. The fundus examination revealed multiple retinal vascular occlusions, and a fluorescein angiography showed retinal and choroidal ischemia bilaterally. In addition, based on the neurologic disorders, a pleuritis, a renal disorder and a hematologic disorder, systemic lupus erythematosus, was diagnosed. Conclusions Severe vaso-occlusive retinopathy in a 26-year-old man resulting in a significant visual loss as the initial manifestation of systemic lupus erythematosus. Central nervous system involvement during lupus might be more frequent in patients when serious retinal changes occur.

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None of the authors declare any conflicts of interest concerning the topic of this report.

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Authors and Affiliations

  1. Department of Ophthalmology, Avicenne Hospital, 125 Rue de Stalingrad, 93000, Bobigny, France

    Audrey Giocanti-Auregan, Typhaine Grenet, Charlotte Rohart, Isabelle Badelon & Gilles Chaine

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  1. Audrey Giocanti-Auregan
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  2. Typhaine Grenet
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  3. Charlotte Rohart
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  4. Isabelle Badelon
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  5. Gilles Chaine
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Correspondence to Audrey Giocanti-Auregan.

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Giocanti-Auregan, A., Grenet, T., Rohart, C. et al. Inaugural severe vaso-occlusive retinopathy in systemic lupus erythematosus. Int Ophthalmol 33, 323–326 (2013). https://doi.org/10.1007/s10792-012-9667-5

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  • DOI: https://doi.org/10.1007/s10792-012-9667-5

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