双侧脉络膜病变作为系统性红斑狼疮首发表现1例

Bilateral choroidopathy as the initial manifestation of systemic lupus erythematosus:a case report

系统性红斑狼疮(systemic lupus erythematosus,SLE)是一种多系统自身免疫性疾病,狼疮引起的脉络膜病变作为SLE的一种罕见并发症是与疾病活动性相关的敏感指标,通常预示着不良预后,可在SLE得到控制后好转。本文报告了一例以双侧脉络膜病变伴浆液性视网膜脱离为首发表现的SLE患者,经眼科多模式成像确诊狼疮脉络膜病变,积极治疗后脉络膜病变得到控制。

Systemic lupus erythematosus(SLE)is a multisystem autoimmune disease.Choroidopathy caused by lupus is a rare complication of SLE,and is a sensitive indicator of disease activity and usually portends a poor prognosis.It is generally improved after SLE is controlled.This article reports a case of SLE with bilateral choroidopathy combined with serous retinal detachments as the initial manifestation,which was confirmed by multimodal ophthalmic imaging.The choroidopathy in this patient was controlled after aggressive treatment.