SIR, Treatment of SLE is based on a judicious combination of glucocorticoids (GCs) and immunosuppressants. The variety of effective immunosuppressants has increased in recent years, but there is still a percentage of patients with resistant manifestations. Rituximab has been the first biologic drug effective in the treatment of resistant SLE [1 4]. Belimumab appears effective in SLE, but has no...

Una mujer de 45 años, sin antecedentes personales de interés y sin tratamiento habitual, acudió a urgencias por la aparición unos días antes en el abdomen, las caderas y los muslos de múltiples placas eritematoedematosas pruriginosas y dolorosas, de contornos geográficos purpúricos, en algunas zonas confluentes alcanzando gran tamaño (fig. 1). Algunas de las lesiones habían evolucionado hacia l...

PURPOSE Bartonella henselae is the causal agent of cat scratch disease and one variation in its presentation is Leber neuroretinitis. The unilateral presence of exudation as a macular star and papilledema represent its most common presentation. METHODS Observational case report. A 7-year-old girl presented a sudden decrease of visual acuity and bilateral macular exudation (macular star) as we...