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MR Vol.11 No.2 indexに戻る
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MODERN RHEUMATOLOGY
Vol.11 No.2 |
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Central retinal vein occlusion and cerebellar
infarction complicating systemic lupus erythematosus: a case report |
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| K. Hamano1, T. Fujimoto1, A. Kimura1, M.
Iwano1, K. Dohi1 |
| (1)First Department of Internal Medicine,
Nara Medical University, 840 Shijo, Kashihara, Nara 630-0183, Japan |
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| Abstract |
| Abstract We treated a 17-year-old woman who had
systemic lupus erythematosus (SLE) complicated by central retinal
vein occlusion (CRVO) and bilateral cerebellar infarction in the
absence of demonstrable antiphospholipid antibodies. General fatigue,
diffuse polyarthralgia, malar rash, and fever had developed during
the 2 weeks preceding admission. The patient was diagnosed with SLE
based on the presence of pleuritis, oral ulceration, pancytopenia,
and antinuclear antibodies. Despite intravenous pulse therapy with
methylprednisolone, blindness developed in the left eye and bilateral
cerebellar infarcts were evident on magnetic resonance images. Fluorescein
angiography revealed extensive retinal venous thrombosis leading
to widespread retinal vein leakage, and a diagnosis of CRVO. |
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| Key words |
| Key words Central retinal vein occlusion ・
Cerebellar infarction ・ Systemic lupus erythematosus |
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