Bilateral Retinal Vasculitis as the First Presentation of Systemic Lupus Erythematosus

03 May 2021 : Case report USA

Unusual clinical course

Eaman Alhassan^1ABEF*, Hannah K. Gendelman^1ABEF, Marwa M. Sabha^2ABEF, Melissa Hawkins-Holt^3BE, Bernadette C. Siaton^2EF

DOI: 10.12659/AJCR.930650

Am J Case Rep 2021; 22:e930650

Background Case Report Discussion Conclusions References:

Related articles Order reprints Share article Share by email

View HTML version

Table 1. Types of lupus retinopathy, ophthalmic findings, and pathophysiology.

Vascular retinopathy	Pathophysiology	Ophthalmic findings
Microangiopathy	Attributed to hypertension secondary to renal involvement	Cotton wool spots, micro-aneurysms, dot hemorrhages, and hard exudates
Retinal vasculitis	Thromboses of the retinal arterioles due to deposition of immune complexes and inflammation	Vascular sheathing, vaso-occlusion (end-point of vasculitis), cotton wool spots, micro-aneurysms, dot hemorrhages, and hard exudates
Vaso-occlusion	Thromboses of the retinal arterioles due to deposition of immune complexes and inflammation	Central retinal artery or vein occlusion, neovascularization, retinal detachment, vitreous hemorrhage

Back to the Article