title: Getting to the heart of the matter.
abstract: A 21-year-old Hispanic woman presented with a history of spontaneous miscarriage developed palpable purpura and transient visual loss followed by permanent vision loss OD, secondary to a central retinal artery occlusion with concomitant optic disk edema. The differential diagnosis for vascular occlusion in systemic lupus erythematosus includes antiphospholipid antibody, systemic lupus erythematosus-related vasculitis, hypercoaguable state, or Libman-Sachs endocarditis.
authors.affiliation: The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
authors.forename: Morgan
authors.initials: M
authors.lastname: Gaunt
authors.forename: Patricia
authors.initials: P
authors.lastname: Davis
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Lee
authors.forename: Michael S
authors.initials: MS
authors.lastname: Lee
mesh_terms: D020757:Amaurosis Fugax / Q000209:etiology; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010211:Papilledema / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D011693:Purpura / Q000209:etiology; D015356:Retinal Artery Occlusion / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D055815:Young Adult
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D000925:Anticoagulants; D005938:Glucocorticoids