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Cited 7 times in

Acute macular neuroretinopathy associated with systemic lupus erythematosus

Authors
 DH Lee  ;  SC Lee  ;  M Kim 
Citation
 LUPUS, Vol.25(4) : 431-435, 2016 
Journal Title
 LUPUS 
ISSN
 0961-2033 
Issue Date
2016
MeSH
Acute Disease ; Adult ; Diagnostic Techniques, Ophthalmological ; Female ; Glucocorticoids/administration & dosage ; Humans ; Infusions, Intravenous ; Lupus Erythematosus, Systemic/complications* ; Lupus Erythematosus, Systemic/diagnosis ; Lupus Erythematosus, Systemic/drug therapy ; Lupus Erythematosus, Systemic/immunology ; Methylprednisolone/administration & dosage ; Retinal Diseases/diagnosis ; Retinal Diseases/drug therapy ; Retinal Diseases/etiology* ; Retinal Diseases/immunology ; Tomography, Optical Coherence ; Treatment Outcome ; Vision Disorders/diagnosis ; Vision Disorders/drug therapy ; Vision Disorders/etiology* ; Vision Disorders/immunology
Keywords
Acute macular neuroretinopathy ; optical coherence tomography ; systemic lupus erythematosus
Abstract
Acute macular neuroretinopathy (AMN) is a rare disorder that presents with abrupt visual change with wedge-shaped or flower-like lesions pointing towards the fovea. Ischemic insults to the retinal capillary plexus may be important for development of this disease. While many case reports have been published on AMN, none have described AMN in association with systemic lupus erythematosus (SLE). Here, we report a case of AMN associated with newly-diagnosed SLE. We speculate that in patients with lupus flares, immune complex-mediated vascular injury and microvascular thrombosis may disrupt the deep retinal capillary network, causing ischemic damages to the outer retina and leading to the development of AMN. AMN can develop in patients with lupus flares, and must be considered as an SLE-associated ophthalmologic complication. To the best of our knowledge, this is the first case report of AMN associated with SLE.
Full Text
http://journals.sagepub.com/doi/abs/10.1177/0961203315619494
DOI
10.1177/0961203315619494
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min(김민) ORCID logo https://orcid.org/0000-0003-1873-6959
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/153059
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