<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932022000100140</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2022.09.01.140</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de encefalopatía posterior reversible en lupus eritematoso sistémico]]></article-title>
<article-title xml:lang="en"><![CDATA[Posterior reversible encephalopathy syndrome in systemic lupus erythematosus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibáñez Franco]]></surname>
<given-names><![CDATA[Elvis Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes Ovelar]]></surname>
<given-names><![CDATA[Alma María Carmelita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Itapúa Facultad de Medicina Postgrado en Medicina Interna]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<fpage>140</fpage>
<lpage>146</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932022000100140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932022000100140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932022000100140&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El síndrome de encefalopatía posterior reversible es una entidad clínico radiológica caracterizada por manifestaciones neurológicas de inicio insidioso y progresivo producido por alteraciones de la perfusión vascular cerebral. Se presentan 2 casos de pacientes con lupus eritematoso sistémico (LES) que desarrollan el síndrome de encefalopatía posterior reversible por hipertensión arterial refractaria. Ambos casos acuden por un cuadro de dificultad respiratoria y edema generalizado, con alteraciones de perfil renal e hipertensión arterial refractaria. El primero se trata de una paciente conocida portadora de lupus eritematoso sistémico en tratamiento irregular y enfermedad renal crónica en tratamiento hemodialítico que presenta alteraciones visuales y convulsiones. El segundo se trata de una paciente con LES en tratamiento irregular y nefritis lúpica sin tratamiento que también presenta alteraciones visuales y convulsiones. Los estudios de neuroimagen en ambos pacientes muestran lesiones a nivel occipital compatibles con el síndrome de encefalopatía posterior reversible. Con la mejoría de las cifras tensionales revirtieron las manifestaciones neurológicas, excepto en el primer caso en el cual persistieron las convulsiones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Posterior reversible encephalopathy syndrome is a clinical and radiological entity characterized by neurological manifestations of insidious and progressive onset caused by alterations in cerebral vascular perfusion. We present two cases of patients with systemic lupus erythematosus (SLE) who developed posterior reversible encephalopathy syndrome due to refractory arterial hypertension. Both cases came due to respiratory distress and generalized edema, with alterations in the renal profile and refractory arterial hypertension. The first is a known female patient with systemic lupus erythematosus in irregular treatment and chronic kidney disease in hemodialysis treatment who presented visual disturbances and seizures. The second is a female patient with SLE in irregular treatment and untreated lupus nephritis who also presented visual disturbances and seizures. Neuroimaging studies in both patients show lesions at the occipital level compatible with posterior reversible encephalopathy syndrome. With the improvement in the blood pressure values, the neurological manifestations reverted in the second case but in the first case the seizures persisted.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lupus eritematoso sistémico]]></kwd>
<kwd lng="es"><![CDATA[encefalopatías]]></kwd>
<kwd lng="es"><![CDATA[manifestaciones neurológicas]]></kwd>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="en"><![CDATA[systemic lupus erythematosus]]></kwd>
<kwd lng="en"><![CDATA[brain diseases]]></kwd>
<kwd lng="en"><![CDATA[neurologic manifestations]]></kwd>
<kwd lng="en"><![CDATA[hypertension]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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