A 21-year-old Hispanic woman presented with a history of spontaneous miscarriage developed palpable purpura and transient visual loss followed by permanent vision loss OD, secondary to a central retinal artery occlusion with concomitant optic disk edema. The differential diagnosis for vascular occlusion in systemic lupus erythematosus includes antiphospholipid antibody, systemic lupus erythematosus-related vasculitis, hypercoaguable state, or Libman-Sachs endocarditis.
Bibliographical noteFunding Information:
The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article. This work was supported in part by an unrestricted educational grant to the University of Iowa Department of Ophthalmology from Research to Prevent Blindness, Inc., NY, NY (AGL, MSL) and the Lions Club of Minnesota (MSL).
Copyright 2018 Elsevier B.V., All rights reserved.
- Libman-Sachs endocarditis
- differential diagnosis
- systemic lupus erythematosus
- vision loss