Gaunt Morgan, Davis Patricia, Lee Andrew G, Lee Michael S
The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Surv Ophthalmol. 2008 Nov-Dec;53(6):636-40. doi: 10.1016/j.survophthal.2008.08.017.
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.
一名21岁的西班牙裔女性,有自然流产史,出现可触及的紫癜和短暂性视力丧失,随后右眼永久性视力丧失,继发于视网膜中央动脉阻塞并伴有视盘水肿。系统性红斑狼疮中血管阻塞的鉴别诊断包括抗磷脂抗体、系统性红斑狼疮相关血管炎、高凝状态或利布曼-萨克斯心内膜炎。