Resumo

MEJIA-TURIZO, Juan Carlos; DURAN-MERINO, Claudia Eugenia; GOMEZ-RODRIGUEZ, Paula Andrea  e  VANEGAS-RAMIREZ, Claudia Marcela. Purtscher-Iike retinopathy with bilateral vasculitis and vascular occlusion as the first manifestation of systemic lupus erythematosus. A case report. Rev.Colomb.Reumatol. [online]. 2023, vol.30, n.2, pp.156-161.  Epub 16-Maio-2024. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2021.05.015.

Purtscher-like retinopathy is a rare ocular disease that manifests with sudden loss of vision, associated with a systemic pathology such as systemic lupus erythematosus. We present the case of a 25-year-old male patient with Purtscher-like retinopathy as the first manifestation of systemic lupus erythematosus, evaluated in a high-complexity centre in the city of Medellín, Colombia. Improvement of signs and symptoms was observed after the start of corticosteroids and monthly intravenous cyclophosphamide therapy. We consider prompt ophthalmological evaluation essential in patients with suspected autoimmune diseases, to make an early diagnosis and improve the prognosis.

Palavras-chave : Retinopathy; Vasculitis; Lupus erythematosus systemic.

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