• Tanisha Ronnie, Larrisa Beyerlein, Michael Murati, and Jeffrey P Louie.
• University of Minnesota School of Medicine, 420 Delaware Street SE, Minneapolis, MN 55455, United States. Electronic address: ronni126@umn.edu.
• Am J Emerg Med. 2020 Feb 1; 38 (2): 411.e1-411.e3.

AbstractVisual 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.Copyright © 2019 Elsevier Inc. All rights reserved.

25 keywords...

hide…