Idiopathic Intracranial Hypertension: Neuropsychiatric Systemic Lupus Erythematosus or Gonadotropin- releasing hormone agonist side effect?
Journal Title: Rheumatica Acta: Open Access - Year 2017, Vol 1, Issue 1
Abstract
A 31-year-old systemic lupus erythematotus (SLE) patient presented with headache and blurring of vision. Prior to this, she received 2 doses of monthly triptorelin for endometriosis. On examination, she had bilateral sixth nerve paresis. The diagnosis of idiopthic intracranial hypertension (IIH) was confirmed by an increased intracranial pressure and normal neuroimaging studies of the brain. After releasing the cerebrospinal pressure and cessation of triptorelin, the clinical symptoms resolved without further treatment. It is important to identify the drugs causing IIH rather than attribute to neuropsychiatric SLE to prevent unnecessary treatment.
Authors and Affiliations
Seung Ong Ping, Muh Ng Yong, Gek Khor Chiew
Septic Arthritis: The drainage controversy
Objective: Septic arthritis is a relatively rare disease, which is associated with a high morbidity and mortality. Treatment consists of prolonged antibiotic therapy and removal of intra-articular inflammatory debris. Ho...
IgA Nephropathy Precedes the Onset of the Rheumatic Disease in a Female with Ankylosing Spondylitis
IgA nephropathy (known as Berger’s disease) is the most common cause of glomerulonephritis. Its estimated prevalence between 25-50 cases per 100.000 individuals. Gross hematuria (40-50%) and microscopic hematuria (30-40%...
The Biological Effects of Interleukin-6 and Their Clinical Applications in Autoimmune Diseases and Cancers
Interleukin-6 (IL-6) is one of the pro-inflammatory cytokines involved in pathogenesis of various autoimmune and chronic inflammatory diseases. IL-6 through binding to its cellular receptor can transduce both classical-...
Remission of Glucocorticoid-Resistant Polymyalgia Rheumatica achieved with Tocilizumab: 2 Case Reports
Polymyalgia rheumatica (PMR) is an idiopathic inflammatory disease characterized by pain and stiffness around the shoulders, neck and hips. IL-6 is an important cytokine in the pathogenesis of the disease. Although gluco...
Idiopathic Intracranial Hypertension: Neuropsychiatric Systemic Lupus Erythematosus or Gonadotropin- releasing hormone agonist side effect?
A 31-year-old systemic lupus erythematotus (SLE) patient presented with headache and blurring of vision. Prior to this, she received 2 doses of monthly triptorelin for endometriosis. On examination, she had bilateral six...