Antiphospholipid syndrome in lupus retinopathy

Systemic lupus erythematosus (SLE) is a chronic, multisystem, autoimmune disease that can affect any part of the human body including the eyes. Common blinding ocular manifestations include central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), severe vaso-occlusive retinopa...

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Main Authors: Ng, Hong Kee, Chong, Mei Fong, Yaakub, Azhany, Embong, Zunaina
Format: Article
Language:English
Published: Dove Medical Press 2014
Subjects:
Online Access:http://eprints.usm.my/38340/1/Antiphospholipid_syndrome_in_lupus_retinopathy.pdf
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author Ng, Hong Kee
Chong, Mei Fong
Yaakub, Azhany
Embong, Zunaina
author_facet Ng, Hong Kee
Chong, Mei Fong
Yaakub, Azhany
Embong, Zunaina
author_sort Ng, Hong Kee
collection USM
description Systemic lupus erythematosus (SLE) is a chronic, multisystem, autoimmune disease that can affect any part of the human body including the eyes. Common blinding ocular manifestations include central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), severe vaso-occlusive retinopathy, and optic nerve involvement. Antiphospholipid syndrome (APS) in lupus is usually associated with large vessel occlusions and needs prompt treatment with anticoagulant. We are reporting two cases of APS in SLE patients that presented with CRVO (case 1) and vaso-occlusive lupus retinopathy (case 2). Both cases were positive for antiphospholipid antibody (APA) and were treated with immunosuppression, anticoagulant, and laser treatment. Thus, screening for APA is vital in SLE patients with lupus retinopathy, as prompt treatment with anticoagulants is important to prevent further vascular thrombosis, which worsens the visual prognosis.
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spelling usm.eprints-383402018-01-11T03:59:39Z http://eprints.usm.my/38340/ Antiphospholipid syndrome in lupus retinopathy Ng, Hong Kee Chong, Mei Fong Yaakub, Azhany Embong, Zunaina RE Ophthalmology Systemic lupus erythematosus (SLE) is a chronic, multisystem, autoimmune disease that can affect any part of the human body including the eyes. Common blinding ocular manifestations include central retinal artery occlusion (CRAO), central retinal vein occlusion (CRVO), severe vaso-occlusive retinopathy, and optic nerve involvement. Antiphospholipid syndrome (APS) in lupus is usually associated with large vessel occlusions and needs prompt treatment with anticoagulant. We are reporting two cases of APS in SLE patients that presented with CRVO (case 1) and vaso-occlusive lupus retinopathy (case 2). Both cases were positive for antiphospholipid antibody (APA) and were treated with immunosuppression, anticoagulant, and laser treatment. Thus, screening for APA is vital in SLE patients with lupus retinopathy, as prompt treatment with anticoagulants is important to prevent further vascular thrombosis, which worsens the visual prognosis. Dove Medical Press 2014-11 Article PeerReviewed application/pdf en http://eprints.usm.my/38340/1/Antiphospholipid_syndrome_in_lupus_retinopathy.pdf Ng, Hong Kee and Chong, Mei Fong and Yaakub, Azhany and Embong, Zunaina (2014) Antiphospholipid syndrome in lupus retinopathy. Clinical Ophthalmology, 2014 (8). pp. 2359-2363. ISSN 1177-5467 http://dx.doi.org/10.2147/OPTH.S71712
spellingShingle RE Ophthalmology
Ng, Hong Kee
Chong, Mei Fong
Yaakub, Azhany
Embong, Zunaina
Antiphospholipid syndrome in lupus retinopathy
title Antiphospholipid syndrome in lupus retinopathy
title_full Antiphospholipid syndrome in lupus retinopathy
title_fullStr Antiphospholipid syndrome in lupus retinopathy
title_full_unstemmed Antiphospholipid syndrome in lupus retinopathy
title_short Antiphospholipid syndrome in lupus retinopathy
title_sort antiphospholipid syndrome in lupus retinopathy
topic RE Ophthalmology
url http://eprints.usm.my/38340/1/Antiphospholipid_syndrome_in_lupus_retinopathy.pdf
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AT chongmeifong antiphospholipidsyndromeinlupusretinopathy
AT yaakubazhany antiphospholipidsyndromeinlupusretinopathy
AT embongzunaina antiphospholipidsyndromeinlupusretinopathy