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Myocardial rupture and systemic lupus erythematosus: a case report.


ABSTRACT:

Background

Systemic erythematous lupus (SLE) is an autoimmune disease associated with significant cardiovascular morbidity and mortality, even in young patients.

Case summary

A young female with recently diagnosed SLE under corticotherapy developed pulmonary oedema and respiratory failure. The diagnostic workup revealed mildly elevated cardiac troponin, significantly elevated NT-proB-type natriuretic peptide (NT-proBNP) and mild pericardial effusion without other echocardiographic abnormalities. Systemic erythematous lupus-associated myocarditis was presumed, and her clinical status improved after corticotherapy intensification. However, transthoracic echocardiogram repeated days later revealed a large pericardial effusion with findings suggestive of a contained myocardial r

SUBMITTER: Neto A 

PROVIDER: S-EPMC7850616 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature