ABSTRACT
Purpose
To describe chorioretinal findings in a patient with new-onset systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS) after a stillbirth associated with preeclampsia.
Study design
Case report.
Results
We report a patient with new-onset SLE and APS after pregnancy, who had a history of preeclampsia and intrauterine death that presented with bilateral visual loss after a seizure. Clinical findings of a unilateral vaso-occlusive retinopathy and choroidopathy associated with intraocular inflammation, serous retinal detachment, and vasculitis are presented, which responded well to immunosuppressive therapy.
Conclusion
New-onset systemic lupus erythematosus (SLE) during or after pregnancy could occur, especially when complicated with preeclampsia, making it difficult to diagnose accurately. Pregnancy-induced hypertension retinopathy and choroidopathy, as well as chorioretinal manifestations of SLE and APS, can share similar ocular manifestations that can overlap and coexist in the same patient, and it is important to recognize them for an adequate management and follow-up.
Disclosure statement
No potential conflict of interest was reported by the author(s).
Ethical considerations
The authors have the informed consent of the patient presented in the case.
Statement of ethics
This case report did not require ethics approval according to local/national guidelines. Written informed consent was obtained from the patient for publication of this case report and any accompanying images. Any sort of information that might reveal the patient’s own identity has been completely avoided.