A Rare Presentation of Lupus Nephritis Flare up with Posterior Reversible Leucoencephalopathy
Systemic lupus erythematosus (SLE) is associated with various neurologic or psychiatric abnormalities and Posterior Reversible Leuco Encephalopathy Syndrome (PRES) is very rare neurological manifestation in SLE. PRES is associated with various clinical manifestations, like, seizures, visual loss,...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7038/14770_CE[Ra]_F(Sh)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdf |
| Summary: | Systemic lupus erythematosus (SLE) is associated with various neurologic or psychiatric abnormalities and Posterior Reversible Leuco
Encephalopathy Syndrome (PRES) is very rare neurological manifestation in SLE. PRES is associated with various clinical manifestations,
like, seizures, visual loss, headaches, vomiting altered mental status and rarely focal neurological deficits. Other predisposing condition
associated with PRES is eclampsia, accelerated hypertension, uraemia, transplantation, autoimmune diseases and/or use of
immunosuppressive drugs. It is important to recognise PRES since it is a potentially reversible. We describe an unusual case of
PRES caused by uraemia during lupus flare up in a patient with biopsy proven class IV lupus nephritis who presented with features
of asymmetrical quadriparesis which completely reversed after haemodialysis sessions and treating lupus flare up. In our case she
presented with quadriparesis which is a rare presentation and hypertensive encephalopathy was not present. |
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| ISSN: | 2249-782X 0973-709X |