A Young Male with Systemic Lupus Erythematosus Presenting with Seizures Secondary to Posterior Reversible Encephalopathy Syndrome (PRES)

Subsequent MRI brain revealed multiple foci of increased FLAIR and T2 weighted signal intensity in the subcortical and periventricular matter bilaterally, and bilateral cerebellum; edema in the parietal and occipital regions consistent with PRES. Conclusions Systemic lupus erythematosus should be co...

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Bibliographic Details
Published in:Journal of allergy and clinical immunology 2015-02, Vol.135 (2), p.AB185-AB185
Main Authors: Patel, Sima J, Paramo, Jonathan, Medical Student, Capitle, Eugenio, MD
Format: Article
Language:English
Subjects:
Allergy and Immunology
Autoimmune diseases
Hypertension
Lupus
Medical treatment
Online Access:Get full text
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Summary:Subsequent MRI brain revealed multiple foci of increased FLAIR and T2 weighted signal intensity in the subcortical and periventricular matter bilaterally, and bilateral cerebellum; edema in the parietal and occipital regions consistent with PRES. Conclusions Systemic lupus erythematosus should be considered in the differential diagnosis of young patients who present with PRES. Clinicians should have a low threshold for MRI especially when neurological symptoms occur in young patients with SLE; even more so in those with active lupus, lupus nephritis, renal failure, and/or poorly controlled hypertension.
ISSN:0091-6749
1097-6825
DOI:10.1016/j.jaci.2014.12.1537