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International Ophthalmology

, Volume 33, Issue 3, pp 323–326 | Cite as

Inaugural severe vaso-occlusive retinopathy in systemic lupus erythematosus

  • Audrey Giocanti-Auregan
  • Typhaine Grenet
  • Charlotte Rohart
  • Isabelle Badelon
  • Gilles Chaine
Case Report

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.

Keywords

Choroidal ischemia Retinal ischemia Systemic lupus erythematosus Severe vaso-occlusive retinopathy Vasculitis 

Notes

Conflicts of interest

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

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Copyright information

© Springer Science+Business Media Dordrecht 2012

Authors and Affiliations

  • Audrey Giocanti-Auregan
    • 1
  • Typhaine Grenet
    • 1
  • Charlotte Rohart
    • 1
  • Isabelle Badelon
    • 1
  • Gilles Chaine
    • 1
  1. 1.Department of OphthalmologyAvicenne HospitalBobignyFrance

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