{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T07:38:09Z","timestamp":1792827489188,"version":"4.5.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Keio University Global Research Institute (KGRI) Start-up grant"},{"name":"JSPS KAKENHI","award":["grant number 19K16989 and 22K15693"],"award-info":[{"award-number":["grant number 19K16989 and 22K15693"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Retinal migraine is a diagnosis of exclusion and is characterized by repeated episodes of transient monocular blindness associated with migraine. We report a case of systemic lupus erythematosus with acute episodes mimicking retinal migraines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report<\/jats:title>\n                    <jats:p>A 46-year-old woman with a history of migraine with aura since her 20s and Evans syndrome presented with episodic transient monocular blindness. Retinal migraine was considered as the cause, and migraine prophylaxis initially reduced its frequency. After 5\u00a0months, the frequency increased, with chilblain-like lupus lesions on her extremities. Laboratory testing revealed lymphopenia and hypocomplementemia, fulfilling the diagnostic criteria for systemic lupus erythematosus, which may have caused Evans syndrome and transient monocular blindness, mimicking retinal migraines. After intravenous methylprednisolone and rituximab therapy, the transient monocular blindness episodes did not recur.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Given the clinical presentation, systemic lupus erythematosus should be considered as a cause of transient monocular blindness and should be distinguished from retinal migraine.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03331024231219477","type":"journal-article","created":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T09:39:47Z","timestamp":1702114787000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Systemic lupus erythematosus mimicking retinal migraine: a case report"],"prefix":"10.1177","volume":"43","author":[{"given":"Toshiki","family":"Tezuka","sequence":"first","affiliation":[{"name":"Department of Neurology, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2416-4259","authenticated-orcid":false,"given":"Mamoru","family":"Shibata","sequence":"additional","affiliation":[{"name":"Department of Neurology, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironari","family":"Hanaoka","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshikane","family":"Izawa","sequence":"additional","affiliation":[{"name":"Department of Neurology, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3210-7756","authenticated-orcid":false,"given":"Taku","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Department of Hematology, Keio University School of Medicine, Tokyo, Japan"},{"name":"Department of Hematology, Japanese Red Cross Medical Center, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunihiko","family":"Akino","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoko","family":"Ozawa","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan"},{"name":"Department of Clinical Regenerative Medicine, Fujita Medical Innovation Center Tokyo and Eye Center, Fujita Health University, Haneda Clinic, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masataka","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Nakahara","sequence":"additional","affiliation":[{"name":"Department of Neurology, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsubasa","family":"Takizawa","sequence":"additional","affiliation":[{"name":"Department of Neurology, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,9]]},"reference":[{"key":"bibr1-03331024231219477","first-page":"1","volume-title":"Cephalalgia","volume":"38","year":"2018","edition":"3"},{"key":"bibr2-03331024231219477","author":"Al Khalili Y","year":"2023","journal-title":"StatPearls"},{"key":"bibr3-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1177\/0333102418794482"},{"key":"bibr4-03331024231219477","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9123851"},{"key":"bibr5-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1002\/art.34473"},{"key":"bibr6-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0b013e3180335222"},{"key":"bibr7-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1007\/s11910-021-01122-1"},{"key":"bibr8-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/868967"},{"key":"bibr9-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000005130"},{"key":"bibr10-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2013.4686"},{"key":"bibr11-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2003.021808"},{"key":"bibr12-03331024231219477","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_161_20"},{"key":"bibr13-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1177\/0333102410372428"},{"key":"bibr14-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1111\/head.13732"},{"key":"bibr15-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1111\/head.14501"},{"key":"bibr16-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1007\/BF00839210"},{"key":"bibr17-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1177\/0333102412444015"},{"key":"bibr18-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1177\/1120672118809579"},{"key":"bibr19-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.51.2.535"},{"key":"bibr20-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem173"},{"key":"bibr21-03331024231219477","doi-asserted-by":"publisher","DOI":"10.1191\/0961203306lu2250rr"}],"container-title":["Cephalalgia"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03331024231219477","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03331024231219477","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03331024231219477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:45:29Z","timestamp":1777387529000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/03331024231219477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":21,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1177\/03331024231219477"],"URL":"https:\/\/doi.org\/10.1177\/03331024231219477","relation":{},"ISSN":["0333-1024","1468-2982"],"issn-type":[{"value":"0333-1024","type":"print"},{"value":"1468-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12]]},"article-number":"03331024231219477"}}