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Ischemic optic neuropathy and high-level anticardiolipin antibodies in primary Sjögren's syndrome
D H Rosler1, M D Conway, J M Anaya
1LSU Medical Center, Department of Medicine, Section of Rheumatology in New Orleans 70112-2822, USA.
Abstract:
A 39-year-old woman with recurrent severe anterior ischemic optic neuropathy in the setting of Sjögren's syndrome was found to have high-titer IgM anticardiolipin antibodies (aCL) that were enhanced by the phospholipid-binding glycoprotein beta 2GP1. The recognition of IgM aCL-associated vasculopathy as a possible etiologic factor in the optic neuropathy in Sjögren's syndrome may be relevant in deciding appropriate therapy.
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