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,...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2016-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/7038/14770_CE[Ra]_F(Sh)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdf |
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| author | S. Hima Mani S. M. Shivaprasad L. Umesh |
| author_facet | S. Hima Mani S. M. Shivaprasad L. Umesh |
| author_sort | S. Hima Mani |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T20:03:50Z |
| format | Article |
| id | doaj.art-1876780cda66455ea75a93c5f5157948 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-20T20:03:50Z |
| publishDate | 2016-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-1876780cda66455ea75a93c5f51579482022-12-21T19:27:59ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-01-01101OD03OD0410.7860/JCDR/2016/14770.7038A Rare Presentation of Lupus Nephritis Flare up with Posterior Reversible LeucoencephalopathyS. Hima Mani0S. M. Shivaprasad1L. Umesh2Post Graduate Student, Department of Nephrology, Institute of Nephrourology, Bangalore, India.Associate Professor, Department of Nephrology, Institute of Nephrourology, Bangalore, India.Professor and Head, Department of Nephrology, Institute of Nephrourology, Bangalore, India.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.https://jcdr.net/articles/PDF/7038/14770_CE[Ra]_F(Sh)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdf(hbp) high blood pressurenih (national institute of health)sle- systemic lupus nephritis |
| spellingShingle | S. Hima Mani S. M. Shivaprasad L. Umesh A Rare Presentation of Lupus Nephritis Flare up with Posterior Reversible Leucoencephalopathy Journal of Clinical and Diagnostic Research (hbp) high blood pressure nih (national institute of health) sle- systemic lupus nephritis |
| title | A Rare Presentation of Lupus Nephritis Flare up with Posterior Reversible Leucoencephalopathy |
| title_full | A Rare Presentation of Lupus Nephritis Flare up with Posterior Reversible Leucoencephalopathy |
| title_fullStr | A Rare Presentation of Lupus Nephritis Flare up with Posterior Reversible Leucoencephalopathy |
| title_full_unstemmed | A Rare Presentation of Lupus Nephritis Flare up with Posterior Reversible Leucoencephalopathy |
| title_short | A Rare Presentation of Lupus Nephritis Flare up with Posterior Reversible Leucoencephalopathy |
| title_sort | rare presentation of lupus nephritis flare up with posterior reversible leucoencephalopathy |
| topic | (hbp) high blood pressure nih (national institute of health) sle- systemic lupus nephritis |
| url | https://jcdr.net/articles/PDF/7038/14770_CE[Ra]_F(Sh)_PF1(VIAK)_PFA(NC_AK)_PF2(PAG).pdf |
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