A PRESing case of visual changes and confusion.
Am J Emerg Med
; 38(2): 411.e1-411.e3, 2020 02.
Article
en En
| MEDLINE
| ID: mdl-31784391
ABSTRACT
Visual disturbances are an uncommon pediatric chief complaint. Usually, after a complete ocular exam including visual acuity, most causes are benign and not life-threatening. Children with abnormal visual complaints who have underlying medical conditions, such as SLE or other autoimmune conditions, a recipient of a transplant, renal disease, and even eclampsia require closer scrutiny. We report a 10-year-old female with a history of systemic lupus erythematosus complicated by hypertension and cardiomyopathy secondary to lupus who presented to the emergency department with a history of vision loss and headache. Head computer tomography demonstrated findings of posterior reversible encephalopathy syndrome (PRES). PRES is a clinical disease associated with cranial radiological findings of heterogenous etiologies that is often reversible. Prompt recognition and treatment are important in preventing permanent damage, long term morbidity and even death.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Trastornos de la Visión
/
Confusión
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Síndrome de Leucoencefalopatía Posterior
/
Lupus Eritematoso Sistémico
Tipo de estudio:
Etiology_studies
Límite:
Child
/
Female
/
Humans
Idioma:
En
Revista:
Am J Emerg Med
Año:
2020
Tipo del documento:
Article