Yeungnam Univ J Med.  2006 Jun;23(1):113-117.

A Case of Systemic Lupus Erythematosus Presenting with Amaurosis Fugax without Antiphospholipid Antibodies Syndrome

Affiliations
  • 1Department of Neurology, College of Medicine, Yeungnam University, Daegu, Korea. junleeluke@hanmail.net

Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that may affect many organ systems including the nervous system. The immune response in patients with SLE can cause inflammation and other damage that can cause significant injury to the arteries and tissues. A 48-year-old woman was admitted to the hospital because of transient monocular blindness. Magnetic resonance imaging and conventional angiography showed severe stenosis of the distal intracranial internal carotid artery. The patient was diagnosed as having SLE but the antiphospholipid antibodies were negative. Amaurosis fugax has not been previously reported as an initial manifestation of SLE in Korea. We report a patient with a retinal transient ischemic attack as the first manifestation of SLE.

Keyword

Systemic lupus erythematosus; Amaurosis fugax

MeSH Terms

Amaurosis Fugax*
Angiography
Antibodies, Antiphospholipid*
Arteries
Autoimmune Diseases
Blindness*
Carotid Artery, Internal
Constriction, Pathologic
Female
Humans
Inflammation
Ischemic Attack, Transient
Korea
Lupus Erythematosus, Systemic*
Magnetic Resonance Imaging
Middle Aged
Nervous System
Retinaldehyde
Antibodies, Antiphospholipid
Retinaldehyde
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