Embolic Stroke as the Initial Manifestation of Systemic Lupus Erythematosus
Joint Authors
Rubin, Bernard
Khan, Reshma M.
Parikh, Sachin
Namas, Rajaie
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We present a case of a 21-year-old African-American female with no significant medical history, who presented to the emergency department with a one-week history of blurry and double vision.
Ophthalmology evaluation revealed bilateral retinal artery occlusion.
Further workup with imaging of the brain was consistent with an ischemic stroke.
Hereditary hypercoagulable workup was unremarkable and initial testing for antiphospholipid syndrome was positive.
She underwent transesophageal echocardiogram (TEE), which showed severe mitral regurgitation and thickening of mitral valve leaflets consistent with Libman-Sacks endocarditis.
Autoimmune workup was positive for IF-ANA, anti-RNP, and anti-Smith antibody.
She fulfilled 4/11 of the ACR criteria and met 5 of the SLICC (Systemic Lupus International Collaborating Clinics) criteria for lupus (nonscaring alopecia, thrombocytopenia, positive ANA, and positive anti-Smith and positive anti-phospholipid antibodies).
This case highlights the importance of early recognition of underlying connective tissue diseases and timely management of these diseases in young patients with no previous manifestations of diseases.
American Psychological Association (APA)
Khan, Reshma M.& Namas, Rajaie& Parikh, Sachin& Rubin, Bernard. 2015. Embolic Stroke as the Initial Manifestation of Systemic Lupus Erythematosus. Case Reports in Rheumatology،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059967
Modern Language Association (MLA)
Khan, Reshma M.…[et al.]. Embolic Stroke as the Initial Manifestation of Systemic Lupus Erythematosus. Case Reports in Rheumatology No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059967
American Medical Association (AMA)
Khan, Reshma M.& Namas, Rajaie& Parikh, Sachin& Rubin, Bernard. Embolic Stroke as the Initial Manifestation of Systemic Lupus Erythematosus. Case Reports in Rheumatology. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059967
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059967