PDF
ePub
Citation
Print
Abstract
Systemic lupus erythematous (SLE) is an autoimmune inflammatory disease of unknown etiology which affects various parts of body. SLE can involve all parts of the heart including the pericardium, myocardium, endocardium, heart valves and coronary arteries. Cardiopathy of SLE is the third common cause of death in all patients with SLE. Although cardiopulmonary symptoms are common in SLE, symptomatic acute lupus myocarditis is a very rare and fatal complication of SLE. We report here on a 20-year-old female patient with acute myocarditis as a initial manifestation of SLE and rapidly diagnosed using echocardiogram.
REFERENCES
1). Tan EM., Cohen AS., Fries JF. The 1982 revised criteria for the classification of systemic lupus erythematosus (SLE). Arthritis Rheum. 1982. 25:1271–7.
2). Urowitz MB., Bookman AAM. Koehler BE, Gordon DA, Smythe HA, Ogryzlo MA. The bimodal mortality pattern of systemic lupus erythematosus. Am J Med. 1976. 60:221–5.
3). Wallace DJ., Podell T., Weiner J., Klinenberg JR., Forouzesh S., Dubois EL. Systemic lupus erythematosus-survival patterns. Experience with 609 patients. JAMA. 1981. 245:934–8.
4). Bevra Hannahs Hahn. Systemic lupus erythematosus. In:. Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, editors. eds.Harrison's textbook of medicine. 14th ed.p. 1874–80. New York, McGraw-Hill;1998.
5). Cheug SM., Chang DM., Lee WH., Ding Ya. Acute myocarditis as an initial manifestation of systemic lupus erythromatosus: a case report. Chung Hua I Hsueh Tsa Chih (Taipei). 1996. 58:205–8.
6). Feldman AM., McNamara D. Myocarditis. N Engl J Med. 2000. 343:1388–98.
7). Cujec B., Sibley J., Haga M. Cardiac abnormalities in patients with systemic lupus erythematosus. Can J Cardiol. 1991. 7:343–9.
8). Doherty NE., Siegel RJ. Cardiovascular manifestations of systemic lupus erythematosus. Am Heart J. 1985. 110:1257–65.
9). Frustaci A., Gentiloni N., Caldarulo M. Acute myocarditis and left ventricular aneurysm as presentations of systemic lupus erythematosus. Chest. 1996. 109:282–4.
10). Doherty NE III., Feldman G., Maurer G., Siegel RJ. Echocardiographic findings in systemic lupus erythematosus. Am J Cardiol. 1988. 61:1144.
11). Ueda T., Mizushige K., Aoyama T. Echocardiography observation of acute myocarditis with systemic lupus erythematosus. Jpn Circ J. 2000. 64:144–6.
12). Ishida R., Murata Y., Sawada Y., Nishioka K., Shibuya H. Thallium-201 myocardial SPECT in patients with collagen disease. Nucl Med Commun. 2000. 21:729–34.
13). Jolles PR., Tatum II. SLE myocarditis. Detection by Ga-67 citrate scintigraphy. Clin Nucl Med. 1996. 21:284–6.
Fig. 1.
Chest x-ray shows cardiomegaly (CT ratio 0.55). No pulmonary edema and pleural effusion are noted.
Fig. 2.
Electrocardiography shows regular rhythm and biphasic T wave in V2~4 and T-wave inversion in leads V5~6.
XML Download