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Irreversible Hemorrhagic Complication of Recurrent Posterior Reversible Encephalopathy Syndrome in a Patient with Systemic Lupus Erythematosus

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초록

Although most cases of posterior reversible encephalopathy syndrome (PRES) are reversible, irreversible lesions as a form of hemorrhage or infarction have been described. PRES as a complication of systemic lupus erythematosus (PRES-SLE) is associated with hypertension or use of immunosuppressive agents. We present a case of recurrent atypical PRES- SLE,which showed restricted diffusion in the first manifestation of SLE, resulted in parenchymal hemorrhagic transformations in the recurrent episode.

Abstract

Although most cases of posterior reversible encephalopathy syndrome (PRES) are reversible, irreversible lesions as a form of hemorrhage or infarction have been described. PRES as a complication of systemic lupus erythematosus (PRES-SLE) is associated with hypertension or use of immunosuppressive agents. We present a case of recurrent atypical PRES- SLE,which showed restricted diffusion in the first manifestation of SLE, resulted in parenchymal hemorrhagic transformations in the recurrent episode.

참고문헌 (10)

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  7. Bartynski WS, "Posterior reversible encephalopathy syndrome, part 2: controversies surrounding pathophysiology of vasogenic edema", AJNR Am J Neuroradiol, 29, pp.1043~1049 (2008)
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  9. Thaipisuttikul I, "Recurrent reversible posterior leukoencephalopathy in a patient with systemic lupus erythematosus", J Neurol, 252, pp.230~231 (2005)
  10. Lee VH, "Clinical spectrum of reversible posterior leukoencephalopathy syndrome", Arch Neurol, 65, pp.205~210 (2008)

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