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© 1993 British Society for Rheumatology

case-report

IRREVERSIBLE BLINDNESS IN SYSTEMIC LUPUS ERYTHEMATOSIS

S. M. NASSER*, P. FIELDS*, D. CALVER*, B. BRESNIHAN{dagger} and T. GIBSON*,

*Guy's Hospital St Thomas' Street, London Bridge, London SE1 9RT
{dagger}Department of Rheumatology, St Vincent's Hospital Elm Park, Dublin 4

Correspondence to: Correspondence to T. Gibson, Department of Rheumatology, Shepherd's House, Guy's Hospital, St Thomas' Street, London SE1 9RT

We describe a patient with systemic lupus erythematosis and renal involvement and who developed visual impairment in the absence of hypertension and anti-cardiolipin antibodies. This was attributed to occlusive vascular disease and choroidal infarction in the context of active lupus. Complete and irreversible blindness developed rapidly despite treatment and the patient died of cerebral haemorrhage 2 months after discharge.

KEY WORDS: Eye disease, Choroid infarcts, Lupus


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