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J Korean Soc Magn Reson Med.  2013 Jun;17(2):144-148. 10.13104/jksmrm.2013.17.2.144.

Irreversible Hemorrhagic Complication of Recurrent Posterior Reversible Encephalopathy Syndrome in a Patient with Systemic Lupus Erythematosus

Affiliations
  • 1Department of Radiology, Catholic University of Daegu School of Medicine, Daegu, Korea.
  • 2Department of Radiology, Kyungpook National University Hospital, Daegu, Korea. leehuijoong@knu.ac.kr
  • 3Department of Radiology, Kyungpook National University, School of Medicine, Daegu, Korea.

Abstract

Although most cases of posterior reversible encephalopathy syndrome (PRES) are reversible, irreversible lesions as a form of hemorrhage or infarction have been described. PRES as a complication of systemic lupus erythematosus (PRES-SLE) is associated with hypertension or use of immunosuppressive agents. We present a case of recurrent atypical PRES-SLE, which showed restricted diffusion in the first manifestation of SLE, resulted in parenchymal hemorrhagic transformations in the recurrent episode.

Keyword

Posterior reversible encephalopathy syndrome; Hemorrhage; SLE; MRI

MeSH Terms

Diffusion
Hemorrhage
Humans
Hypertension
Immunosuppressive Agents
Infarction
Lupus Erythematosus, Systemic
Immunosuppressive Agents
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