| Item type |
☆紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2019-06-17 |
| タイトル |
|
|
タイトル |
<Case Reports> A rare case of a severe ocular complication as an initial presentation of adolescent-onset systemic lupus erythematosus: a case report |
|
言語 |
en |
| 著者 |
Kotani, Yuki
Miyazaki, Kohei
Enya, Takuji
Miyazawa, Tomoki
Okada, Mitsuru
Sugimoto, Keisuke
|
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
children systemic, lupus erythematosus, retinopathy |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 所属 |
|
|
値 |
Department of Pediatrics, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Pediatrics, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Pediatrics, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Pediatrics, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Pediatrics, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Pediatrics, Kindai University Faculty of Medicine |
| 版 |
|
|
出版タイプ |
NA |
|
出版タイプResource |
http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
| 出版者 名前 |
|
|
出版者 |
Kindai University Medical Association |
| 書誌情報 |
en : ACTA MEDICA KINDAI UNIVERSITY
巻 43,
号 2,
p. 81-88,
発行日 2018-12
|
| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
03866092 |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
[Abstract] Background: Systemic lupus erythematosus (SLE) is an autoimmune disease that causes severe complications in multiple organs. Ocular manifestations are critical in patients with SLE because of the vision-threatening risk of such complications. However, severe retinopathy as an initial presentation of SLE is uncommon, even when the severity of SLE is mild, especially in children. Case presentation: We encountered a 14-year-old female patient with rapidly progressive impairment of her left vision that was determined to be caused by severe retinopathy secondary to SLE. Her other systemic symptoms, including a mild renal disorder, were not severe. The patient showed positivity for anticardiolipin antibody, although she did not have antiphospholipid antibody syndrome. She was initially treated with high-dose methylprednisolone, antiplatelet therapy,and anticoagulation therapy because of the high possibility of vision loss; this was followed by tacrolimus as maintenance therapy. Photocoagulation therapy was also performed to prevent vitreous hemorrhage and retinal detachment. Early diagnosis of SLE based on the rapid deterioration of her vision allowed for early interventions and a good clinical course with recovery of her vision. Conclusions: Importantly, regardless of the severity of the systemic symptoms in patients with SLE, ocular involvement is critical and requires aggressive treatment. |
| フォーマット |
|
|
内容記述タイプ |
Other |
|
内容記述 |
application/pdf |
AA0050842X-20181200-0081.pdf (1.0 MB)
