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Dr. Esperance A. Schaefer (Medicine): A 38-year-old woman was admitted to the hospital, because of blurred vision and shortness of breath, 2 weeks after a cesarean section had been performed because of preeclampsia during pregnancy.
The patient had been well until approximately 6 weeks before admission, at approximately 22 weeks' gestation, when a diagnosis of preeclampsia was made at another hospital. Seventeen days before admission, at approximately 25 weeks' gestation, acute shortness of breath and chest tightness developed, and she was admitted to the other hospital. The blood pressure was 175/105 mm Hg. Aminotransferase and uric acid levels were normal;
Differential Diagnosis
Infections
Sarcoidosis
Systemic Lupus Erythematosus
Tubulointerstitial Nephritis Uveitis
Wegener's Granulomatosis or Microscopic Polyangiitis
Cryoglobulinemia
The Antiphospholipid Antibody Syndrome
Clinical Diagnosis
Dr. Colm C. Magee's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Renal Division, Brigham and Women's Hospital (C.C.M.); the Division of Cardiology (M.P.C.) and Departments of Radiology (V.V.M.) and Pathology (R.B.C.), Massachusetts General Hospital; and the Departments of Medicine (C.C.M., M.P.C.), Ophthalmology (C.S.F.), Radiology (V.V.M.), and Pathology (R.B.C.), Harvard Medical School — all in Boston; and the Immunology and Uveitis Foundation and the Massachusetts Eye Research and Surgery Institute, Cambridge, MA (C.S.F.).
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