Fatal outcome of posterior reversible encephalopathy syndrome (PRES) in a lupus nephropathy patient: A case report

Ihssane Afilal, MD; Siham Nasri, MD; Mustapha Bendaoud, MD; Hajar Mahjouba, MD; Imane Guerrouj, MD; Fathia Aidid, MD; Widad Abbou, MD; Narjisse Aichouni, MD; Imane Kamaoui, MD; Imane Skiker, MD

Radiology Case Reports (Jun 2022)

Fatal outcome of posterior reversible encephalopathy syndrome (PRES) in a lupus nephropathy patient: A case report

Ihssane Afilal, MD,
Siham Nasri, MD,
Mustapha Bendaoud, MD,
Hajar Mahjouba, MD,
Imane Guerrouj, MD,
Fathia Aidid, MD,
Widad Abbou, MD,
Narjisse Aichouni, MD,
Imane Kamaoui, MD,
Imane Skiker, MD

Affiliations

Ihssane Afilal, MD: Corresponding author.; Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco
Siham Nasri, MD: Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco
Mustapha Bendaoud, MD: Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco
Hajar Mahjouba, MD: Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco
Imane Guerrouj, MD: Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco
Fathia Aidid, MD: Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco
Widad Abbou, MD: Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco
Narjisse Aichouni, MD: Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco
Imane Kamaoui, MD: Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco
Imane Skiker, MD: Department of Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, BP 4806 Oujda University, Oujda 60049, Morocco

Journal volume & issue: Vol. 17, no. 6
pp. 2215 – 2219

Abstract

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Posterior reversible encephalopathy syndrome is a rare underestimated condition, that generally complicates a rise in blood pressure in an acute setting. This entity has been increasingly identified in patients with systemic lupus erythematosus disease. PRES is challenging to diagnose seeing as it presents with nonspecific neurological symptoms, such as head-aches, confusion, seizures, visual changes or a coma, and can mimic neuropsychiatric lupus. Imaging plays a necessary role in confirming this diagnosis, as it is characterized by vasogenic edema of the posterior white matter, in which the distribution is bilateral and symmetrical. Although this syndrome is rare, early diagnosis allows a prompt treatment and therefore a favorable outcome. We present a case report of PRES in a 14-year-old female previously diagnosed with lupus nephropathy, who presented to the emergency department with seizures and uncontrolled hypertension, that was unfortunately not reversible is this patient.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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