Oligosymptomatic Reversible Posterior Leukoencephalopathy in a Patient With Lupus Nephritis

Abstract

Reversible posterior leukoencephalopathy (RPL) is a pathology that was first described in 1996. It is characterized by a clinical syndrome with sudden headache, altered mental status, visual impairment, seizures and radiological findings (mostly in posterior encephalic regions). It has a sudden onset which makes diagnosis more difficult. RPL has been relationed with several pathologies and use of some drugs. We report a case of a young female, diagnosed of Eritematous Systemic Lupus who developed an oligosymptomatic RPL. Although RPL frequently has a sudden onset with multiple symptoms, sometimes it can go with minimum signs, so physicians should be aware of this pathology in order to make an early diagnosis and correct treatment.




J Med Cases. 2013;4(10):670-672
doi: http://dx.doi.org/10.4021/jmc1463w