Intracranial Hypertension as the First Manifestation of Systemic Lupus Erythematosus: A Case Report

    October 2024 in “ Heliyon
    Isabella Pugliese, María del Mar Serna Posada, Masaru Shinchi, David Aguirre-Valencia
    TLDR Consider systemic lupus erythematosus in patients with unexplained intracranial hypertension.
    A 19-year-old Colombian woman presented with chronic headaches, papilledema, and intracranial hypertension, leading to a diagnosis of systemic lupus erythematosus (SLE) and class V lupus nephritis. Her symptoms, including hair loss and skin dryness, along with positive autoimmune markers, supported the diagnosis. Treatment with methylprednisolone and other medications improved her condition. This case highlights the importance of considering SLE in patients with idiopathic intracranial hypertension and conducting a thorough review of systems to identify underlying causes.
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