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Article
April 1997

Uveitis and Systemic Lupus Erythematosus

Author Affiliations

London, England

Arch Ophthalmol. 1997;115(4):565. doi:10.1001/archopht.1997.01100150567033
Abstract

The article by Rodriguez and coworkers1 on uveitis referral patterns to a tertiary ophthalmic center reports systemic lupus erythematosus (SLE) as a common cause of anterior uveitis, posterior uveitis, and retinal vasculitis (3.3%, 7.9%, and 15.3%, respectively). The authors state that SLE (along with various other systemic conditions) is an "important and well-known cause of retinal vasculitis," but this is not the case. The authors are apparently making the common mistake of referring to lupus retinopathy as a retinal vasculitis. Indeed the article2 that they cite as a reference for the above statement reiterates this point: clinically, inflammation of the anterior chamber or vitreous is not a feature of lupus retinopathy, even in severe disease,2,3 while pathologically, in keeping with the cerebral vasculopathy,4 there is microocclusion rather than vasculitis.5 However, inflammatory infiltration of the choroid has been reported,5 and it has been postulated that

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