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Systemic lupus erythematosus flare-up manifesting as a cilioretinal artery occlusion

Department of Ophthalmology, Kaud Saud University

Hasan O Naddaf

Department of Medicine, College of Medicine, Kaud Saud University, PO Box 55307 , Riyadh 11534, Saudi Arabia

Abdul-Kareem Al-Momen

Department of Medicine, College of Medicine, Kaud Saud University, PO Box 55307 , Riyadh 11534, Saudi Arabia

Suliman R Al-Balla

Department of Medicine, College of Medicine, Kaud Saud University, PO Box 55307 , Riyadh 11534, Saudi Arabia

In this report we describe a patient with systemic lupus erythematosus who was clinically stable after treatment with the antimalarial drug chloroquine and pulse cyclophosphamide therapy. Three months after the discontinuation of chloroquine, the patient developed cilioretinal artery occlusion that was the only the manifestation of a clinical flare-up without evidence of clinical disease activity elsewhere. This case report confirms the clinical belief that the antimalarial agents can maintain the clinical quiescence of systemic lupus erythematosus and its discontinuation is associated with an increase in the risk of clinical flare-up.

Key Words: retina • retinal vascular occlusion • systemic lupus erythematosus • chloroquine

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