一例罕见的急性心包炎患者狼疮发作

L. Caraballo
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引用次数: 0

摘要

系统性红斑狼疮(SLE)是一种慢性,多系统,炎症性疾病的自身免疫性病因不明。系统性红斑狼疮(SLE)的心脏受累可能包括心包、心肌、瓣膜疾病(包括Libman-Sacks心内膜炎)和冠状动脉。心肌炎是一种严重的不寻常的特征,最常见于非洲裔美国人,在系统性红斑狼疮患者中可无症状,患病率为8-25%。急性心包炎并发心力衰竭是SLE的一种危及生命的并发症,需要及早发现以防止患者死亡。类固醇是急性心包炎患者的一线治疗。我们在此报告一例罕见的SLE发作,表现为急性心肌炎。
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A rare case presentation of acute myo-pericarditis in a patient with lupus flare
Systemic lupus erythematosus (SLE) is a chronic, multisystem, inflammatory disorder of autoimmune etiology of unknown cause. Cardiac involvement during systemic lupus erythematosus (SLE) may include the pericardium, myocardium, valvular disease, including Libman-Sacks endocarditis, and coronary arteries. Myocarditis is a severe unusual feature most common in African-American that can be asymptomatic with a prevalence of 8-25% in patients with systemic lupus erythematosus. Acute myo-pericarditis with subsequent heart failure is a life threatening complication of SLE that needs to get recognized early to prevent mortality to the patient. Steroids is the first line therapy in patients with acute myopericarditis. Here we present a rare case of SLE flare presenting as Acute myopericarditis.
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