TITLE

Bilateral cytomegalovirus Retinitis in a Patient With Systemic Lupus Erythematosus and End-Stage Renal Disease

AUTHOR(S)
Shahnaz, Sabiha; Choksi, Mamta T.; Tan, Irene J.
PUB. DATE
November 2003
SOURCE
Mayo Clinic Proceedings;Nov2003, Vol. 78 Issue 11, p1412
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Rheumatic diseases are not commonly associated with cytomegalovirus (CMV) retinitis. We report a case of bilateral CMV retinitis in a human immunodeficiency virusseronegative patient with systemic lupus erythematosus (SLE) who was undergoing hemodialysis for end-stage renal disease. The CMV retinitis in this patient was associated with combined azathioprine and low-dose corticosteroid therapy for lupus flare. This association may have important clinical implications because this drug combination is used routinely to treat active SLE. Our patient responded to discontinuation of azathioprine, reduction of the corticosteroid dose, and systemic administration of ganciclovir. We recommend that clinicians maintain heightened awareness of the possibility of CMV retinitis in patients with SLE and end-stage renal disease who are receiving azathioprine and low-dose corticosteroids.
ACCESSION #
11286560

 

Related Articles

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics